Individual
JULIA RENEE SPARKS
Active
Individual
JULIA RENEE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R234233
MD
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-308825
PA
163WM0102X
Maternal Newborn Registered Nurse
104036443
PA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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