JALEN SULLIVAN

OAKLAND, CA
NPI1326781428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-16
Last Update Date2022-04-16
Business Address
JALEN SULLIVAN
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 800-671-6377
Mailing Address
JALEN SULLIVAN
18 E PROVIDENCE RD
YEADON, PA 19050-2843
Phone number: 267-736-0660