Individual
MRS. BEBIELYN A SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
736 EAST AVE, BROCKPORT, NY 14420-1751
(585) 752-0001
Mailing address
736 EAST AVE, BROCKPORT, NY 14420-1751
(585) 752-0001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336969
NY
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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