Ms Bianca Sullivan, LMBT | |
4913 Professional Ct Ste 208, Raleigh, NC 27609-1926 | |
(910) 548-4896 | |
Not Available |
Full Name | Ms Bianca Sullivan |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 4913 Professional Ct Ste 208, Raleigh, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790422426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 18017 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Bianca Sullivan, LMBT 4913 Professional Ct Ste 208, Raleigh, NC 27609-1926 Ph: (910) 548-4896 | Ms Bianca Sullivan, LMBT 4913 Professional Ct Ste 208, Raleigh, NC 27609-1926 Ph: (910) 548-4896 |
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