Individual
SAMANTHA ASHLEY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2643
(937) 208-6173
(937) 208-3843
Mailing address
PO BOX 632317, CINCINNATI, OH 45263-2317
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020296
OH
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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