MISS Jacqueline Marie Sullivan, LMT
NPI #1023255395 in Ogdensburg, New York
Provider Information
- NPI Number
- 1023255395
- Entity Type
- Individual
- Name
- MISS Jacqueline Marie Sullivan, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 609 CANTON ST
- City
- Ogdensburg
- State
- New York
- ZIP Code
- 13669-3811
- Phone
- (315) 393-1018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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