Individual
JESSICA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PARAMEDICAL TATTOO
Contact information
Practice address
120 DIVISION ST, SAUK RAPIDS, MN 56379-1424
(320) 291-1701
Mailing address
316 4TH AVE NE, SARTELL, MN 56377-1315
(320) 309-1742
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
312450
MN
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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