Individual
MONIKA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
453 QUARRY RD, PALO ALTO, CA 94304-1419
(415) 529-0255
Mailing address
453 QUARRY RD, PALO ALTO, CA 94304-1419
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
20A20873
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
05/24/2023
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