SHELBY DANIEL SPARKS

SAN DIEGO, CA
NPI1255126355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
SHELBY DANIEL SPARKS
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
SHELBY DANIEL SPARKS
6423 REFLECTION DR APT 106
SAN DIEGO, CA 92124-3131
Phone number: 210-773-9686
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