NPI 1134584998

Clementine Yalonda Sullivan

Practitioner Massage Therapist Flowood, MS

Practice location

Address: 151 E Metro Dr STE 203, Flowood, MS 39232-4405
Phone: (601) 382-8337

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1928 (MS)

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Registry record

NPI: 1134584998
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2015
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.