Sara Camille Sullivan, RN, LMT

NPI #1831940634 in Lonoke, Arkansas

Provider Information

NPI Number: 1831940634
Entity Type: Individual
Name: Sara Camille Sullivan, RN, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: RN, LMT
Enumeration Date: Mar 29, 2024
Last Updated: Mar 29, 2024

Practice Location

Address: 20 PONDEROSA DR
City: Lonoke
State: Arkansas
ZIP Code: 72086-3603
Phone: (501) 762-7951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Massage Therapist	225700000X	Primary

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