Individual provider · Type 1 NPI

King Anthony Sparks, PHLEBOTOMY TECHNICIA

Contractor · Wilmington, CA

NPI number 1508093907 Active

Practice location

1254 N Wilmington Blvd
Wilmington, CA 90744-2402

Mailing address

PO Box 60526
Los Angeles, CA 90060-0526

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XCPT3277799 (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1508093907

King Anthony Sparks, PHLEBOTOMY TECHNICIA's National Provider Identifier is 1508093907, issued on Jun 12, 2009. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Wilmington, CA. The record was last updated on Jun 19, 2009.