Individual
MS. BIANCA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4913 PROFESSIONAL CT STE 208, RALEIGH, NC 27609-1926
(910) 548-4896
Mailing address
4913 PROFESSIONAL CT STE 208, RALEIGH, NC 27609-1926
(910) 548-4896
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18017
NC
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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