Jesika Sullivan
NPI #1568047124 in Keyser, West Virginia
Provider Information
- NPI Number
- 1568047124
- Entity Type
- Individual
- Name
- Jesika Sullivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Mar 16, 2021
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 26 WARD AVE
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-2916
- Phone
- (304) 209-8106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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