Individual
MS. ANDREA MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., CCSP
Contact information
Practice address
2100 LAKESHORE AVE STE E, OAKLAND, CA 94606-1188
(510) 893-1577
(510) 893-8907
Mailing address
2100 LAKESHORE AVE STE E, OAKLAND, CA 94606-1188
(510) 893-1577
(510) 893-8907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
20808
CA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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