Individual
NOREEN M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1301 LUISA ST, SUITE H, SANTA FE, NM 87505-7001
(505) 982-0691
Mailing address
1301 LUISA ST, SUITE H, SANTA FE, NM 87505-7001
(505) 982-0691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
564
NM
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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