Individual
JERIE SICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2437 TAYLOR PARK DR, REYNOLDSBURG, OH 43068-8036
(614) 655-5002
Mailing address
6016 CHERRY HILL DR, COLUMBUS, OH 43213-3392
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
850101060351599
OH
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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