Individual
MS. VICKY L SPARKS FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT ASPC CLS NCA
Contact information
Practice address
1090 GOAT SPRINGS ROAD, TAOS PICURIS INDIAN HEALTH CENTER, TAOS, NM 87571
(505) 758-4224
(505) 751-5211
Mailing address
PO BOX 1956, TAOS PICURIS INDIAN HEALTH CENTER, TAOS, NM 87571
(505) 758-4224
(505) 751-5211
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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