Individual
MARILYN SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 474-6370
(337) 475-4143
Mailing address
WOMEN & CHILDRENS HOSPITAL LLC, PO BOX 848415, DALLAS, TX 75284-0001
(337) 474-6370
(337) 475-4143
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
818787
LA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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