Individual
JEAN A. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1540 RHODES LN, BOWIE, TX 76230-7730
(469) 307-2426
(469) 420-5044
Mailing address
1540 RHODES LN, BOWIE, TX 76230-7730
(469) 307-2426
(469) 420-5044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05882
TX
Other
Enumeration date
09/27/2010
Last updated
08/03/2022
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