STEPHEN EARL SPARKS

DINGESS, WV
NPI1558136085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-11-15
Last Update Date2023-11-15
Business Address
STEPHEN EARL SPARKS
85 SPARKS DR
DINGESS, WV 25671-1105
Phone number: 304-733-1094
Mailing Address
STEPHEN EARL SPARKS
85 SPARKS DR
DINGESS, WV 25671-1105
Phone number: