Individual
JERRILYN N SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
46 BRIDGE ST, NASHUA, NH 03060-3576
(603) 882-7769
Mailing address
46 BRIDGE ST, NASHUA, NH 03060-3576
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
1120493
NH
133N00000X
Nutritionist
Primary
1120493
NH
Other
Enumeration date
04/12/2010
Last updated
04/14/2010
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