Individual
FARREN SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3294 RUSSELLVILLE RD, QUINWOOD, WV 25981-7005
(304) 992-5161
Mailing address
3294 RUSSELLVILLE RD, QUINWOOD, WV 25981-7005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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