Individual
VICTORIA SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 W 16TH ST, INDIANAPOLIS, IN 46224-6418
(317) 409-9582
Mailing address
5108 W 16TH ST, INDIANAPOLIS, IN 46224-6418
(317) 409-9582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002731A
IN
Other
Enumeration date
04/10/2025
Last updated
12/30/2025
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