Individual
MRS. RAINA ANN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
Mailing address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
953572
OK
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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