Individual
MRS. AIMEE LEIGH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852-2208
(978) 452-1736
(978) 452-6625
Mailing address
83 CORBETT ST, LOWELL, MA 01852-5301
(978) 479-9456
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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