MRS. Nina Noella Sullivan, LMT

NPI #1073820437 in Eugene, Oregon

Provider Information

NPI Number: 1073820437
Entity Type: Individual
Name: MRS. Nina Noella Sullivan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Sep 7, 2010
Last Updated: Sep 7, 2010

Practice Location

Address: 2746 SHADOW VIEW DR
City: Eugene
State: Oregon
ZIP Code: 97408-4610
Phone: (541) 345-0551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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