Individual
ARIEL ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 EDMONDS RD., BUILDING D, REDWOOD CITY, CA 94062
(669) 306-2983
Mailing address
240 EDMONDS RD., BUILDING D, REDWOOD CITY, CA 94062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10255049
KAISER PEMANENTE
CA
Enumeration date
12/09/2022
Last updated
09/25/2024
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