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Katelyn Sparks-Jackson
NPI 1508655820 · on the registry since 2025 · sole proprietor
Practice
- Address
- 13202 Florence Ave
Santa Fe Springs, CA 90670 - Phone
- (562) 784-1607
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225400000X
225400000X
- Also registered as
- 171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-22
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