Individual provider · Type 1 NPI

Jessica Gwenhwyvar Sullivan

Other Technician · Boston, MA

NPI number 1285840603 Active

Practice location

495 Summer St, Boston Meps, 4th Floor
Boston, MA 02210-2109

Call (617) 753-3113 Map

Mailing address

495 Summer Street, Boston Meps, 4th Floor
Boston, MA 01721

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1285840603

Jessica Gwenhwyvar Sullivan's National Provider Identifier is 1285840603, issued on May 15, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.