Jamie Sparks

NPI #1538390190 in O Fallon, Illinois

Provider Information

NPI Number
1538390190
Entity Type
Individual
Name
Jamie Sparks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jul 30, 2009
Last Updated
Jul 30, 2009

Practice Location

Address
1000 ILLINI DR
ZIP Code
62269-3571
Phone
(618) 622-9246

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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