Sandra Sullivan

NPI #1568127124 in Boise, Idaho

Provider Information

NPI Number
1568127124
Entity Type
Individual
Name
Sandra Sullivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Nov 8, 2021
Last Updated
Nov 8, 2021

Practice Location

Address
6700 W OVERLAND RD
City
Boise
State
Idaho
ZIP Code
83709-2032
Phone
(208) 319-4587

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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