Individual
ABIGAIL R SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
10433 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3831
(505) 226-1610
Mailing address
604 AGUA FRIA ST, SANTA FE, NM 87501-2577
(505) 303-9696
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DOM1230
NM
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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