Individual
DANA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1101 SUPERMALL WAY, AUBURN, WA 98001-6511
(253) 333-7771
Mailing address
1101 SUPERMALL WAY, AUBURN, WA 98001-6511
(253) 333-7771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00019608
WA
Other
Enumeration date
12/31/2010
Last updated
01/24/2011
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