Jonathan James Sparks

NPI #1235779034 in Hurlburt Field, Florida

Provider Information

NPI Number
1235779034
Entity Type
Individual
Name
Jonathan James Sparks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Enumeration Date
Jan 9, 2020
Last Updated
Jan 9, 2020

Practice Location

Address
113 LIELMANIS AVE
State
Florida
ZIP Code
32544-5613
Phone
(850) 881-5139

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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