Individual
MS. COLLEEN JEAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
173 MUTTON LN, APT 2, EAST WEYMOUTH, MA 02189-2434
(508) 728-3686
Mailing address
173 MUTTON LN, APT 2, EAST WEYMOUTH, MA 02189-2434
(508) 728-3686
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67421
MA
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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