Individual
JULIA SULLIVAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 5TH AVE W APT 1, SEATTLE, WA 98119-1867
(206) 718-2263
Mailing address
3036 5TH AVE W, SEATTLE, WA 98119-1867
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60309110
WA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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