STAYCE K SULLIVAN

SAN RAFAEL, CA
NPI1770139123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95012073)
Enumeration Date2019-08-12
Last Update Date2019-08-12
Business Address
STAYCE K SULLIVAN
515 NORTHGATE DR. STE. 101
SAN RAFAEL, CA 94903-9490
Phone number: 415-202-9990
Mailing Address
STAYCE K SULLIVAN
42 GRANDE PASEO
SAN RAFAEL, CA 94903-1546
Phone number: 509-995-7310
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