Individual
MARY KAY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
(717) 840-2741
Mailing address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
(717) 840-2741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN666595
PA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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