Individual
RHONDA S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANCLC
Contact information
Practice address
1902 S NYSSA PL, BROKEN ARROW, OK 74012-9093
(918) 829-7721
Mailing address
1902 S NYSSA PL, BROKEN ARROW, OK 74012-9093
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0114610
OK
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
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