SAMANTHA JANE SULLIVAN

JACKSONVILLE, FL
NPI1508600859
Former NameSAMANTHA JANE AVALOS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  11033413)
Enumeration Date2024-06-21
Last Update Date2024-06-21
Business Address
SAMANTHA JANE SULLIVAN APRN
7651 GATE PKWY APT 1007
JACKSONVILLE, FL 32256-4808
Phone number: 248-505-9024
Mailing Address
SAMANTHA JANE SULLIVAN APRN
7651 GATE PKWY APT 1007
JACKSONVILLE, FL 32256-4808
Phone number: 248-505-9024
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