SHANNON MICHELLE SULLIVAN

LOS ANGELES, CA
NPI1619514239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2019-12-02
Last Update Date2019-12-20
Business Address
SHANNON MICHELLE SULLIVAN
679 S NEW HAMPSHIRE AVE
LOS ANGELES, CA 90005-1355
Phone number: 626-254-5000
Mailing Address
SHANNON MICHELLE SULLIVAN
3561 E 6TH ST
LOS ANGELES, CA 90023-1711
Phone number: 413-386-5500