Sullivan, Clementine Yalonda
Sullivan, Clementine Yalonda is an sole proprietor health care provider with primary practice located at 151 E Metro Dr Ste 203 , Flowood MS 39232-4405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Sullivan, Clementine Yalonda can be contacted via phone (601) 382-8337.Contact Information
Primary practice address
151 E Metro Dr Ste 203
Flowood MS 39232-4405
Phone: (601) 382-8337
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1928 | Mississippi |
Profile Details
NPI number | 1134584998 |
---|---|
LBN Legal business name | Sullivan, Clementine Yalonda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2015 |
Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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