Individual
AMANDA CLARE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
900 S ELISEO DR STE 104, GREENBRAE, CA 94904-2152
(415) 676-1832
Mailing address
900 S ELISEO DR STE 104, GREENBRAE, CA 94904-2152
(415) 676-1832
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9879
CA
Other
Enumeration date
05/04/2006
Last updated
01/21/2025
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