LAURA NASTASSJA SULLIVAN

APEX, NC
NPI1124455704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-04483)
Enumeration Date2013-09-27
Last Update Date2022-06-01
Business Address
LAURA NASTASSJA SULLIVAN PA
1011 PEMBERTON HILL RD STE 101
APEX, NC 27502-4266
Phone number: 919-620-4700
Mailing Address
LAURA NASTASSJA SULLIVAN PA
PO BOX 751274
CHARLOTTE, NC 28275-1274
Phone number: 919-620-4700
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