Individual
JANELLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S BRYANT AVE, EDMOND, OK 73034-5764
(405) 922-2386
Mailing address
427 E 3RD ST, EDMOND, OK 73034-5337
(405) 922-2386
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
10/07/2024
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