MARISSA DANIELLE SPARKS

FORT WORTH, TX
NPI1225334915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  725519)
Enumeration Date2011-01-28
Last Update Date2014-01-27
Business Address
MARISSA DANIELLE SPARKS CRNA
5401 LEDGESTONE DR
FORT WORTH, TX 76132-2344
Phone number: 405-816-6010
Mailing Address
MARISSA DANIELLE SPARKS CRNA
5401 LEDGESTONE DR
FORT WORTH, TX 76132-2344
Phone number: 405-816-6010
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