Individual
ASHLEY DARROW SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
963 PLYMOUTH AVE S APT 1, ROCHESTER, NY 14608-2905
(803) 837-3637
Mailing address
133 MAGUIRE DR, LEXINGTON, SC 29073-7266
(803) 837-3637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341425
NY
164W00000X
Licensed Practical Nurse
52326
SC
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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