Individual
MRS. GERI MAE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6512 E 18TH AVE, SPOKANE VALLEY, WA 99212-0161
(509) 230-4951
Mailing address
6512 E 18TH AVE, SPOKANE VALLEY, WA 99212-0161
(509) 230-4951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057464
WA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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