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Sparkle S Crenshaw
Student in an Organized Health Care Education/Training Program in Gold River, California
NPI 1538844311

Sparkle S Crenshaw is a Student in an Organized Health Care Education/Training Program based in Elk Grove, CA. Sparkle S Crenshaw practices in Gold River, CA. The NPI Number for Sparkle S Crenshaw is 1538844311 and holds a License No. (California).

The current practice location address for Sparkle S Crenshaw is 11344 Coloma Rd Ste 515, Gold River, CA and can be reached out via phone at 916-385-1236.

Location: 11344 Coloma Rd Ste 515, Gold River, CA, 95758-0040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538844311
Provider Name
Sparkle S Crenshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
11344 Coloma Rd Ste 515, Gold River, CA, 95758-0040
Phone Number
916-385-1236
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11344 Coloma Rd Ste 515
City
Gold River
State
California
Zip
95670-4462
Phone Number
916-385-1236
Fax Number
person
Provider Business Mailing Address Details
Address
11344 Coloma Rd Ste 515
City
Gold River
State
California
Zip
95670-4462
Phone Number
916-385-1236
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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