Individual
DR. ANGELA L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
110 COLUMBIA POINT DR, RICHLAND, WA 99352-4387
(509) 946-7692
(509) 943-8639
Mailing address
110 COLUMBIA POINT DR, RICHLAND, WA 99352-4387
(509) 946-7692
(509) 943-8639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH00034466
STATE LICENSE
WA
Enumeration date
12/07/2005
Last updated
06/28/2019
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