Sandra J Sullivan, DT

NPI #1700913035 in Oakville, Connecticut

Provider Information

NPI Number: 1700913035
Entity Type: Individual
Name: Sandra J Sullivan, DT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: DT
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 900 MAIN ST
City: Oakville
State: Connecticut
ZIP Code: 06779-1999
Phone: (860) 945-3012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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