Individual
CLEMENTINE YALONDA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E METRO DR STE 203, FLOWOOD, MS 39232-4405
(601) 382-8337
Mailing address
151 E METRO DR STE 203, FLOWOOD, MS 39232-4405
(601) 382-8337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1928
MS
Other
Enumeration date
12/22/2015
Last updated
07/21/2022
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