Individual
JESSICA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 N MILFORD RD, MILFORD, MI 48381-1534
(248) 676-2916
Mailing address
640 N MILFORD RD, MILFORD, MI 48381-1534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041521
MI
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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