Individual
DR. NI SUN-SUSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 DICKINSON ST # B, SAN DIEGO, CA 92103-2071
(831) 219-8430
Mailing address
1797 FOURTH ST, LIVERMORE, CA 94550-4347
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31784
CA
Other
Enumeration date
07/16/2020
Last updated
12/23/2021
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