Alexis Kirah Sullivan Valid NPI
Individual provider · Peer Specialist · Provo, UT
- NPI
- 1871181248
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-01-01
- Last updated
- 2021-01-01
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
(801) 373-4760