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Jennifer Sparks
NPI 1407176944 · on the registry since 2010
Practice
- Address
- 611 Shasta Lane
Suite 100
Costa Mesa, CA 92626 - Phone
- (714) 803-9181
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California