Makenna Sullivan
NPI #1003652983 in San Diego, California
Provider Information
- NPI Number
- 1003652983
- Entity Type
- Individual
- Name
- Makenna Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Jul 1, 2024
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 3900 LOMALAND DR
- City
- San Diego
- State
- California
- ZIP Code
- 92106-2810
- Phone
- (619) 494-9813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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| Tara Hall, ATC | |
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