TIFFANY SPARKS

Licensed Practical Nurse

Active Individual
NPI: 1770070872

Practice Address

4170 16TH ST
Ecorse, MI 48229

Phone: (248) 930-3374

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 4703110615 (MI)

Frequently Asked Questions

NPI 1770070872 is the National Provider Identifier for TIFFANY SPARKS, a Licensed Practical Nurse provider located in Ecorse, MI. This NPI was enumerated on April 16, 2018.
TIFFANY SPARKS practices at 4170 16TH ST, Ecorse, MI 48229.

Quick Facts

NPI
1770070872
Type
Individual
Enumerated
Apr 16, 2018
Last Updated
Apr 16, 2018

Nearby Providers