Individual
MS. SHARON MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LPS
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-2323
Mailing address
133 W CARTER AVE, SIERRA MADRE, CA 91024-1109
(626) 230-6191
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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