JASON ROBERT SULLIVAN

EUREKA, CA
NPI1235784646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA  RN95135198)
Enumeration Date2019-08-04
Last Update Date2019-08-04
Business Address
JASON ROBERT SULLIVAN RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
JASON ROBERT SULLIVAN RN
640 12TH ST APT 2
ARCATA, CA 95521-5864
Phone number: 707-689-9463
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