Individual
MANDY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IHP
Contact information
Practice address
8733 ORCHARD GREEN CT, ODENTON, MD 21113-2555
(240) 417-5629
Mailing address
8733 ORCHARD GREEN CT, ODENTON, MD 21113-2555
(240) 417-5629
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R209615
MD
171400000X
Health & Wellness Coach
—
MD
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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