Individual
PAMELA NINOSKA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
3570 OLNEY LAYTONSVILLE RD, OLNEY, MD 20830-7581
(301) 637-8414
Mailing address
1604 DAYTON RD, HYATTSVILLE, MD 20783-3022
(240) 564-3356
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-587
MD
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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