Frieda G Sparks, LMT

NPI #1164552980 in St Augustine, Florida

Provider Information

NPI Number
1164552980
Entity Type
Individual
Name
Frieda G Sparks, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Mar 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
10-G ST JOHNS MEDICAL PARK DR
State
Florida
ZIP Code
32086
Phone
(904) 794-0507

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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