Individual
BRIDGET SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10901 SPRINGTREE AVE, BATON ROUGE, LA 70810-7782
(225) 270-5260
Mailing address
10901 SPRINGTREE AVE, BATON ROUGE, LA 70810-7782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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