Search › Ohio › 164W00000X
Jessica Sparks
NPI 1265609218 · on the registry since 2008 · sole proprietor
Practice
- Address
- 420 Stitcher St
Bradford, OH 45308 - Phone
- (931) 448-2529
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-09
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 Ohio