Individual
MR. DANIEL PATRICK SULLIVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4484 PACIFIC COAST HWY., SAN DIEGO, CA 92110
(619) 772-6541
Mailing address
1836 ROWAN ST, SAN DIEGO, CA 92105-5634
(619) 538-6053
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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