MS. Lynetta Irene Sullivan
NPI #1508519935 in Truth Or Consequences, New Mexico
Provider Information
- NPI Number
- 1508519935
- Entity Type
- Individual
- Name
- MS. Lynetta Irene Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Jan 26, 2022
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 312 N BROADWAY ST
- State
- New Mexico
- ZIP Code
- 87901-2834
- Phone
- (575) 740-0719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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