Individual
JONATHAN M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 W 33RD AVE., DENVER, CO 80221
(303) 433-3944
Mailing address
330 ACOMA ST, APT 1107, DENVER, CO 80223
(720) 985-9902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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