Individual
MR. GERROMI SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, LAT, ATC
Contact information
Practice address
1801 TURKEY POINT RD, ESSEX, MD 21221-1734
(240) 602-6626
Mailing address
6110 BREEZEWOOD DR APT 104, GREENBELT, MD 20770-4148
(240) 602-6626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001160
MD
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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