Individual
DR. JEFF ALLEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ATC
Contact information
Practice address
3900 LOMALAND DRIVE, POINT LOMA NAZARENE UNIVERSITY, SAN DIEGO, CA 92106
(619) 849-2629
Mailing address
1404 BELMONT PLACE, CHULA VISTA, CA 91913
(619) 849-2629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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