Individual
GABRIELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30901 LAKE SHORE BLVD APT 117, WILLOWICK, OH 44095-3610
(216) 213-3760
Mailing address
30901 LAKE SHORE BLVD APT 117, WILLOWICK, OH 44095-3610
(216) 213-3760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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