Individual
MS. VALERIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
(215) 248-8554
Mailing address
8835 GERMANTOWN AVE, PHILADELPHIA, PA 19118-2718
(215) 248-8554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005254
PA
Other
Enumeration date
12/22/2013
Last updated
12/22/2013
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