BEGIN:VCARD VERSION:3.0 FN:Siearra Spencer N:Spencer;Siearra;;; TITLE:Community Health Worker TEL;TYPE=WORK,VOICE:+13039898169 URL:https://www.gale.care/providers/ca/dublin/siearra-spencer-1235829417 NOTE:NPI 1235829417. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1235829417 END:VCARD