Individual
STEPHANIE A. SPARKS-THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5009 N 58TH ST, MILWAUKEE, WI 53218-4249
(414) 763-0188
Mailing address
5009 N 58TH ST, MILWAUKEE, WI 53218-4249
(414) 763-0188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32485-031
WI
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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