Individual
CHELSEA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7456 GINGER LN, CINCINNATI, OH 45244-2923
(513) 310-1685
Mailing address
948 NOTTINGHAM DR, CINCINNATI, OH 45255-4767
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102469
—
OH
Enumeration date
09/24/2020
Last updated
09/24/2020
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