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Shannon Allison Sullivan
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1730716010

Shannon Allison Sullivan is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Shannon Allison Sullivan practices in Orange, CA. The NPI Number for Shannon Allison Sullivan is 1730716010 and holds a License No. (California).

The current practice location address for Shannon Allison Sullivan is 101 The City Drive S, Orange, CA and can be reached out via phone at 714-456-5691 and via fax at 714-456-8874.

Location: 101 The City Drive S, Orange, CA, 92868-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730716010
Provider Name
Shannon Allison Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 The City Drive S, Orange, CA, 92868-3201
Phone Number
714-456-5691
Fax Number
714-456-8874
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 The City Drive S
City
Orange
State
California
Zip
92868
Phone Number
714-456-5691
Fax Number
714-456-8874
person
Provider Business Mailing Address Details
Address
101 The City Drive S
City
Orange
State
California
Zip
92868
Phone Number
714-456-5691
Fax Number
714-456-8874
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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