Individual
PAMELA PATRICIA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6108 BETHANY RD, CHARLESTOWN, IN 47111-8405
(502) 415-1209
Mailing address
6108 BETHANY RD, CHARLESTOWN, IN 47111-8405
(502) 415-1209
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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