Individual
MRS. DOROTHEA 'JEANA' SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3145 W TOWER AVE, CINCINNATI, OH 45238-3411
(513) 614-3445
Mailing address
3145 W TOWER AVE, CINCINNATI, OH 45238-3411
(513) 614-3445
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
114516 MEDS
OH
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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