DEBRA SULLIVAN

DERBY, CT
NPI1396836714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CT  001807)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
DEBRA SULLIVAN PA
130 DIVSIION STREET
DERBY, CT 06418
Phone number: 203-732-7403
Mailing Address
DEBRA SULLIVAN PA
130 DIVSIION STREET
DERBY, CT 06418
Phone number: