Individual
DREW SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2276
Mailing address
27500 AVENIDA QUINTANA, CATHEDRAL CITY, CA 92234-8413
(716) 425-5684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95302356
CA
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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