MS. Gina Marie Sullivan, CADC II

NPI #1801198361 in Banning, California

Provider Information

NPI Number: 1801198361
Entity Type: Individual
Name: MS. Gina Marie Sullivan, CADC II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Credential: CADC II
Enumeration Date: Dec 3, 2010
Last Updated: Dec 3, 2010

Practice Location

Address: 245 N MURRAY ST
City: Banning
State: California
ZIP Code: 92220-5528
Phone: (951) 849-8812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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