Individual
GAIL SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
577 STERNBERG AVE, FORT EUSTIS, VA 23604-1526
(757) 435-2564
Mailing address
577 STERNBERG AVE, FORT EUSTIS, VA 23604-1526
(757) 435-2564
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402001841
VA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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