Individual
DR. KATHARINE DIRESTA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
680 MAIN ST, HAVERHILL, MA 01830-2644
(978) 374-4258
Mailing address
680 MAIN ST, HAVERHILL, MA 01830-2644
(978) 374-4258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4433
MA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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