ED SPARKS

WOODLAND, CA
NPI1407268667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-05-22
Last Update Date2014-05-22
Business Address
-- ED SPARKS RASI
435 ASPEN ST
WOODLAND, CA 95695-2665
Phone number: 530-662-5727
Mailing Address
-- ED SPARKS RASI
435 ASPEN ST
WOODLAND, CA 95695-2665
Phone number: 530-662-5727
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