Individual
AIVAREE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 CENTER RD, BEDFORD, OH 44146-2717
(216) 543-0120
Mailing address
144 CENTER RD, BEDFORD, OH 44146-2717
(216) 543-0120
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501108590506
OH
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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