Individual
MR. P. ALEXANDER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T. 2569
Contact information
Practice address
1210 LUISA ST STE 9, SANTA FE, NM 87505-4175
(505) 501-4263
(505) 501-4263
Mailing address
1210 LUISA ST STE 9, SANTA FE, NM 87505-4175
(505) 501-4263
(505) 501-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
#2569
NM
Other
Enumeration date
01/23/2007
Last updated
11/23/2009
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