Individual
CARMEN N SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 KELLY CIR, SANFORD, FL 32773-7355
(352) 843-1999
Mailing address
176 KELLY CIR, SANFORD, FL 32773-7355
(352) 843-1999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA49290
FL
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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