Individual
MS. BRENDA LEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
(909) 621-5999
Mailing address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
(909) 621-5999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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