CLARENCE SPARKS

LOMA LINDA, CA
NPI1013604602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-24
Last Update Date2023-04-24
Business Address
CLARENCE SPARKS
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4074
Mailing Address
CLARENCE SPARKS
11234 ANDERSON ST BLDG SUITEC
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6131