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Aleah Sparks, NP
Pediatric Nurse Practitioner in San Rafael, California
NPI 1548985948

Aleah Sparks is a Pediatric Nurse Practitioner based in Petaluma, CA and is specialized in Pediatrics. Aleah Sparks practices in San Rafael, CA and has the professional credentials of NP. The NPI Number for Aleah Sparks is 1548985948 and holds a License No. 95017577 (California).

The current practice location address for Aleah Sparks is 4000 Civic Center Dr Ste 310, San Rafael, CA and can be reached out via phone at 707-953-2949.

Location: 4000 Civic Center Dr Ste 310, San Rafael, CA, 94952-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548985948
Provider Name
Aleah Sparks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
4000 Civic Center Dr Ste 310, San Rafael, CA, 94952-2603
Phone Number
707-953-2949
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Civic Center Dr Ste 310
City
San Rafael
State
California
Zip
94903-4129
Phone Number
707-953-2949
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Civic Center Dr Ste 310
City
San Rafael
State
California
Zip
94903-4129
Phone Number
707-953-2949
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
95017577 (California)
Definition
Definition to come...
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