Individual
ANNETTA LENISE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5751 UPLANDER WAY, CULVER CITY, CA 90230-6605
(310) 679-5900
Mailing address
5751 UPLANDER WAY, CULVER CITY, CA 90230-6605
(310) 679-5900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
11/04/2025
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