Alicia E Sparks

NPI #1366726796 in Tinton Falls, New Jersey

Provider Information

NPI Number: 1366726796
Entity Type: Individual
Name: Alicia E Sparks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 788 SHREWSBURY AVE
City: Tinton Falls
State: New Jersey
ZIP Code: 07724-3080
Phone: (732) 758-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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