MALLORY SULLIVAN

PROVIDENCE, RI
NPI1750689311
Former NameMALLORY SCHNARE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA00585)
Enumeration Date2011-03-07
Last Update Date2013-08-06
Business Address
-- MALLORY SULLIVAN PA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-519-1604
Mailing Address
-- MALLORY SULLIVAN PA
PO BOX 9484
PROVIDENCE, RI 02940-9484
Phone number: 401-854-2500
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