Individual
DORIS C SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R022789
ME
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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