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Individual

MR. ASHTON SPARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMMT

Contact information

Practice address
2090 N MILLS AVE, CLAREMONT, CA 91711-2812
(909) 447-7500
Mailing address
6371 HAVEN AVE STE 3-170, RANCHO CUCAMONGA, CA 91737-6943

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
78166
CA

Other

Enumeration date
02/18/2020
Last updated
03/01/2021
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