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Individual

MISS LEIGH ANNE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
3116 ROLLING KNOLL DR, FARMERS BRANCH, TX 75234-3738
(214) 435-9490
Mailing address
3116 ROLLING KNOLL DR, FARMERS BRANCH, TX 75234-3738
(214) 435-9490

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1456
OK
133V00000X
Registered Dietitian
Primary
DT83632
TX

Other

Enumeration date
06/06/2007
Last updated
01/07/2021
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