Individual
D'ANNA LINDA-MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 BERGQUIST DR, LACKLAND A F B, TX 78236-9907
(210) 292-2988
Mailing address
2200 BERGQUIST DR, LACKLAND AFB, TX 78236-9907
(210) 679-0569
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
05/18/2016
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