Most Relevant Information
Provider Data
| NPI Number: | 1003661109 |
| Provider Name: | AVERY DAWN SUNSHINE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 04/26/2024 |
Provider Practice Location
4770 INDIANOLA AVE STE 107
COLUMBUS
OH
432141862
Practice Location Phone/Fax
| Phone: | 6143712303 |
| Fax: |
Provider Mailing Location
4770 INDIANOLA AVE STE 107
COLUMBUS
OH
432141862
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |