Individual
SPARKLES JENESE SHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 E FULTON ST, COLUMBUS, OH 43205-2476
(614) 725-4750
Mailing address
1529 E FULTON ST, COLUMBUS, OH 43205-2476
(614) 725-4750
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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