Individual
HOLLY M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5079 GRENOBLE CT, MARRERO, LA 70072-5519
(504) 610-3035
Mailing address
5079 GRENOBLE CT, MARRERO, LA 70072-5519
(504) 610-3035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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