MR. King Anthony Sparks, PHLEBOTOMY TECHNICIA
NPI #1508093907 in Wilmington, California
Provider Information
- NPI Number
- 1508093907
- Entity Type
- Individual
- Name
- MR. King Anthony Sparks, PHLEBOTOMY TECHNICIA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- PHLEBOTOMY TECHNICIA
- Enumeration Date
- Jun 12, 2009
- Last Updated
- Jun 19, 2009
Practice Location
- Address
- 1254 N WILMINGTON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-2402
- Phone
- (213) 926-7970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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