ALBERTA DIANE SPARKS

FORT WORTH, TX
NPI1164691994
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT04055)
Enumeration Date2008-02-26
Last Update Date2008-02-26
Business Address
-- ALBERTA DIANE SPARKS RD, LD
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-920-6738
Mailing Address
-- ALBERTA DIANE SPARKS RD, LD
1400 S MAIN ST STE 300
FORT WORTH, TX 76104-4923
Phone number: 817-920-6738
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