MS. Lynetta Irene Sullivan
MS. Lynetta Irene Sullivan is a Community Health Worker in Truth Or Consequences, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
312 N Broadway StTruth Or Consequences, NM 87901-2834
Phone: (575) 740-0719
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1508519935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | February 4, 2025 |
| Certification date | February 4, 2025 |
| Mailing address | 312 N Broadway St, Truth Or Consequences, NM 87901-2834 |
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