Individual
CHANDLYR MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 HASCALL ST APT 307, OMAHA, NE 68106-3596
(402) 875-0689
Mailing address
8002 BARBARA ST, OMAHA, NE 68124-3312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
05/11/2023
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