| Clementine Yalonda Sullivan, | |
|
151 E Metro Dr Ste 203, Flowood, MS 39232-4405 | |
| (601) 382-8337 | |
| Not Available |
| Full Name | Clementine Yalonda Sullivan |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 151 E Metro Dr Ste 203, Flowood, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134584998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 1928 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clementine Yalonda Sullivan, 151 E Metro Dr Ste 203, Flowood, MS 39232-4405 Ph: (601) 382-8337 | Clementine Yalonda Sullivan, 151 E Metro Dr Ste 203, Flowood, MS 39232-4405 Ph: (601) 382-8337 |
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