Most Relevant Information
Provider Data
| NPI Number: | 1003305921 |
| Provider Name: | TAHERA SPARKS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2018 |
| Last Updated: | 05/07/2018 |
Provider Practice Location
3801 CONNECTICUT AVE NW # 100
WASHINGTON
DC
200084530
Practice Location Phone/Fax
| Phone: | 2025251641 |
| Fax: |
Provider Mailing Location
3801 CONNECTICUT AVE NW # 100
WASHINGTON
DC
200084530
Provider Mailing Phone/Fax
| Phone: | 2025251641 |
| Fax: |