Virginia Mamie-Mae Sullivan

NPI #1881342756 in Bainbridge, Ohio

Provider Information

NPI Number: 1881342756
Entity Type: Individual
Name: Virginia Mamie-Mae Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Mar 10, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 660 US RT 50
City: Bainbridge
State: Ohio
ZIP Code: 45612
Phone: (740) 744-6732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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