SearchMichigan101YA0400X

Sparkle Thomas

NPI 1033970090 · on the registry since 2024 · sole proprietor

Practice

Address
1136 Carpenter Dr
Pontiac, MI 48340
Phone
(248) 396-2963
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan