Allyssa Sullivan

NPI #1053932855 in Burien, Washington

Provider Information

NPI Number: 1053932855
Entity Type: Individual
Name: Allyssa Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: May 3, 2020
Last Updated: May 3, 2020

Practice Location

Address: 1033 SW 152ND ST
City: Burien
State: Washington
ZIP Code: 98166-1845
Phone: (206) 242-1698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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