Individual
TYESHA LASHON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10989 BLUFFSIDE DR APT 3203, STUDIO CITY, CA 91604-4406
(562) 499-9659
Mailing address
10989 BLUFFSIDE DR APT 3203, STUDIO CITY, CA 91604-4406
(562) 499-9659
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95246284
CA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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