Richard Louis Sullivan
Technician, Personal Care Attendant in Washington, DC. Individual provider (NPI-1).
NPI number1699432575
StatusActive
Last updated in NPPESNov 26, 2021
Details
- NPI
- 1699432575
- Entity type
- Individual (NPI-1)
- Name
- Richard Louis Sullivan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 26, 2021
- Certification date
- Nov 26, 2021
- Last updated
- Nov 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
21 Atlantic St Sw Apt 203Washington, DC 20032-2353
Phone 202-758-3443
Mailing address
1645 W St Se Apt 203Washington, DC 20020-8124
Phone 202-848-0463
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