person
Andrea Sparks
Military Health Care Provider in Rockville, Maryland
NPI 1881306603

Andrea Sparks is a Military Health Care Provider based in Rockville, MD. Andrea Sparks practices in Rockville, MD. The NPI Number for Andrea Sparks is 1881306603 and holds a License No. (Maryland).

The current practice location address for Andrea Sparks is 755 Azalea Dr, Rockville, MD and can be reached out via phone at 330-367-9044. You can also correspond with Andrea Sparks through the mailing address at 755 AZALEA DR, ROCKVILLE, MD - 20850-2016 (mailing address contact number: 330-367-9044).

Location: 755 Azalea Dr, Rockville, MD, 20850-2016
person
Provider Profile Details
NPI Number
1881306603
Provider Name
Andrea Sparks
Credential
Provider Entity Type
Individual
Gender
Female
Address
755 Azalea Dr, Rockville, MD, 20850-2016
Phone Number
330-367-9044
Fax Number
Provider Enumeration Date
12/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
755 Azalea Dr
City
State
Zip
20850-2016
Phone Number
330-367-9044
Fax Number
person
Provider Business Mailing Address Details
Address
755 Azalea Dr
City
State
Zip
20850-2016
Phone Number
330-367-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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