Provider Demographics
NPI:1891544086
Name:COMER, SANDRA GAIL
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:GAIL
Last Name:COMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 BUCKLICK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MINFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45653-8882
Mailing Address - Country:US
Mailing Address - Phone:740-820-6402
Mailing Address - Fax:
Practice Address - Street 1:217 BUCKLICK CREEK RD
Practice Address - Street 2:
Practice Address - City:MINFORD
Practice Address - State:OH
Practice Address - Zip Code:45653-8882
Practice Address - Country:US
Practice Address - Phone:740-820-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health