Individual
JACQUELINE NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15372 LORETTA DR, LA MIRADA, CA 90638-1428
(562) 639-7802
Mailing address
15372 LORETTA DR, LA MIRADA, CA 90638-1428
(562) 639-7802
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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