SHANE SULLAWAY

Other Technician

NPI: 1366738320Individual

Specialties, Licenses & Credentials

Other TechnicianPrimary

Technician, Other

Code: 247200000X

Contact & Hours

Address: 2100 N HIGHWAY 360, STE. 1802
GRAND PRAIRIE, TX 75050
Phone: (972) 647-8567

Quick Facts

NPI: 1366738320
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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