WANDA J SULLIVAN

RUSTON, LA
NPI1740360353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  RN073140)
Enumeration Date2006-10-17
Last Update Date2016-02-18
Business Address
-- WANDA J SULLIVAN RN
765 S BONNER ST
RUSTON, LA 71270-5801
Phone number: 318-202-5935
Mailing Address
-- WANDA J SULLIVAN RN
PO BOX 1839
RUSTON, LA 71273-1839
Phone number: 318-202-5935
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