SearchOhio376K00000X

Sparkles Shy

NPI 1700165313 · on the registry since 2011 · sole proprietor

Practice

Address
1529 E Fulton St
Columbus, OH 43205
Phone
(614) 725-4750

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372600000X
374U00000X
376J00000X
Sex
Female
Record last updated
2011-08-12

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