Individual
JESSICA SPARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 MAIN ST E, OAK HILL, WV 25901-2341
(304) 465-0885
(304) 471-2488
Mailing address
104 HOLLIDAY DR, BECKLEY, WV 25801-2432
(802) 363-9832
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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