SULLAY DEEN

LOS ANGELES, CA
NPI1225853120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  2024070396)
Enumeration Date2024-11-18
Last Update Date2024-11-18
Business Address
SULLAY DEEN PMHNP
12619 AVALON BLVD
LOS ANGELES, CA 90061-2727
Phone number: 323-757-1881
Mailing Address
SULLAY DEEN PMHNP
PO BOX 58
HAWTHORNE, CA 90251-0058
Phone number: 424-255-2864