Female

Mary M. Sutton LPN, CST,CFA,,SA

Full Name

Mary Mcclellan Sutton LPN, CST,CFA,,SA

NPI Number

1124235775

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/16/2007

Specialties

(Taxonomies)

Code

364SM0705X
247200000X

Primary Taxonomy

No
No

Licenses

State

Colorado
North Carolina
Texas

License Number

00F267
027608
SA00147

Contact
Information

Purpose

Mailing
Location

Address

1297 WALNUT GROVE LN
1297 WALNUT GROVE LN

City

Snow Camp
Snow Camp

State

NC
NC

Postal Code

27349-9655
27349-9655

Country

US
US

Telephone Number

(336) 376-3113
(336) 376-3113

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address