KELLY SPARKS

NEW YORK, NY
NPI1154699882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  006957)
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
Ms. KELLY SPARKS RD
1 GUSTAVE L LEVY PL BOX 1104
NEW YORK, NY 10029-6500
Phone number: 212-659-9300
Mailing Address
Ms. KELLY SPARKS RD
166 E 91ST ST APT 4B
NEW YORK, NY 10128-2003
Phone number: 440-759-1220