Individual
CHRISTINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 ROLLING MEADOWS CIR, ROCKWALL, TX 75087-5700
(972) 740-6028
Mailing address
195 ROLLING MEADOWS CIR, ROCKWALL, TX 75087-5700
(972) 740-6028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
956516
TX
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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