Individual
PAULINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1900 E SLAUSON AVE STE B, HUNTINGTON PARK, CA 90255-2725
(323) 277-7678
Mailing address
8532 3/4 RAMONA ST, BELLFLOWER, CA 90706-6367
(562) 472-5590
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
729123
CA
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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