LUCINDA LYNN SPARKS

TAHLEQUAH, OK
NPI1891071924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: OK  95371)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: TX  699258)
Enumeration Date2011-11-03
Last Update Date2012-10-26
Business Address
-- LUCINDA LYNN SPARKS CNM
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
-- LUCINDA LYNN SPARKS CNM
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100