Individual
SHAQUOIA SPRINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4930 HOLLY OAK RD, FORT WAYNE, IN 46845-8903
(260) 557-0019
Mailing address
4930 HOLLY OAK RD, FORT WAYNE, IN 46845-8903
(260) 557-0019
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
IN
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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