| NPI | 1073713160 |
|---|---|
| Doing Business As | DR. SANDRA BOUZAGLOU |
| Entity Type | Organization |
| Authorized Contact | DENISE SPARKS Office Manager 859-263-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KY 25984) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-10-15 |