Individual
CHRISTIE DAWN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10411 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1798
(540) 785-7888
Mailing address
6831 BUCK LN, FREDERICKSBURG, VA 22407-6327
(540) 786-5902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006891
VA
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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