Individual
ANDREA SULAVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
23 UNIVERSITY DR, FORT KENT, ME 04743-1248
(207) 834-7572
Mailing address
23 UNIVERSITY DR, FORT KENT, ME 04743-1248
(207) 834-7572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT587
ME
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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