Kimothy Sparks, RN, JD

NPI #1073975033 in Gallup, New Mexico

Provider Information

NPI Number
1073975033
Entity Type
Individual
Name
Kimothy Sparks, RN, JD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN, JD
Enumeration Date
Mar 28, 2016
Last Updated
Mar 28, 2016

Practice Location

Address
516 E NIZHONI BLVD
City
Gallup
ZIP Code
87301-5748
Phone
(505) 722-1533

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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