Individual
BRIANNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6428
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA51702
CA
Other
Enumeration date
06/26/2014
Last updated
01/03/2022
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