MRS. Jessica Gwenhwyvar Sullivan
NPI #1285840603 in Boston, Massachusetts
Provider Information
- NPI Number
- 1285840603
- Entity Type
- Individual
- Name
- MRS. Jessica Gwenhwyvar Sullivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- May 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 495 SUMMER ST
- Address 2
- BOSTON MEPS, 4TH FLOOR
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02210-2109
- Phone
- (617) 753-3113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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