TYLER ASHLEY SULLIVAN

EAST PROVIDENCE, RI
NPI1760917207
Former NameTYLER ASHLEY ROSA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: RI  PA00970)
Enumeration Date2017-04-21
Last Update Date2021-10-05
Business Address
TYLER ASHLEY SULLIVAN PA-C
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914-5375
Phone number: 401-453-9032
Mailing Address
TYLER ASHLEY SULLIVAN PA-C
PO BOX 1119
PROVIDENCE, RI 02901-1119
Phone number: 401-443-4150
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