Individual
MS. JEANNE F SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
97 CHURCH ST, FAIRHAVEN, MA 02719-3723
(508) 951-6403
Mailing address
97 CHURCH ST, FAIRHAVEN, MA 02719-3723
(508) 951-6403
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH10483
MA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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