| NPI | 1851888978 |
|---|---|
| Other Name | THELISA SULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: SC 2018-46169-45207) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: SC 2018-46169-45207) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 2018-46169-45207) | |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2020-02-02 |