SHANNON SULLIVAN

TRACY, CA
NPI1922574920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TP0016X Psychologist, Prescribing (Medical)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IA  789456)
Enumeration Date2018-10-17
Last Update Date2025-05-03
Business Address
SHANNON SULLIVAN RN
20 E EATON AVE
TRACY, CA 95376-3100
Phone number: 209-553-0737
Mailing Address
SHANNON SULLIVAN RN
20 E EATON AVE
TRACY, CA 95376-3100
Phone number: 209-553-0737