Individual
ANDREA MICHELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 WALL ST., RAVENNA, OH 44266
(330) 235-6222
Mailing address
6340 WALL ST., RAVENNA, OH 44266
(330) 235-6222
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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