Individual
LEANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13529 EMILINE ST, OMAHA, NE 68138-6114
(402) 699-7746
Mailing address
13529 EMILINE ST, OMAHA, NE 68138-6114
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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