Individual
CATHY SPARACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8039
Mailing address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8039
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
239955
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WD04000X
CDE DIABETES EDUCATION
SC
Enumeration date
12/30/2019
Last updated
12/30/2019
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