Individual
DEBORAH L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 30TH ST, OAKLAND, CA 94609-3310
(510) 273-4200
Mailing address
5674 STONERIDGE DR, PLEASANTON, CA 94588-8500
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
500563
CA
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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