RICHALLE VICTORIA SMITH SULLIVAN

LOUISVILLE, KY
NPI1427402080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-20
Last Update Date2019-08-21
Business Address
RICHALLE VICTORIA SMITH SULLIVAN MD
550 S JACKSON ST
LOUISVILLE, KY 40202-1622
Phone number: 502-561-7441
Mailing Address
RICHALLE VICTORIA SMITH SULLIVAN MD
550 S JACKSON ST
LOUISVILLE, KY 40202-1622
Phone number: 502-561-7441
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