Individual
ANGELA D SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
4237 58TH AVE APT 10, BLADENSBURG, MD 20710-1936
(240) 464-4033
Mailing address
4237 58TH AVE APT 10, BLADENSBURG, MD 20710-1936
(240) 464-4033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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