Individual
CELIA A SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
1060 HUDSON ST, LONGVIEW, WA 98632-3103
(360) 423-2037
Mailing address
7403 WILLOW GROVE RD, LONGVIEW, WA 98632-9236
(360) 560-0921
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
602868651
WA
Other
Enumeration date
04/24/2007
Last updated
11/06/2008
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