| NPI | 1811789449 |
|---|---|
| Other Name | SEAN ANDREW MCCULLOUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |