DR. Kristie Michelle Sparkman, O.D.

NPI #1609928993 in Montclair, California

Provider Information

NPI Number: 1609928993
Entity Type: Individual
Name: DR. Kristie Michelle Sparkman, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9404 CENTRAL AVE
City: Montclair
State: California
ZIP Code: 91763-2421
Phone: (909) 482-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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