Individual provider · Type 1 NPI

Devyn Sullivan

Specialist · Modesto, CA

NPI number 1215380381 Active

Practice location

2630 W Rumble Rd
Modesto, CA 95350-0155

Call (209) 579-9444 Map

Fax (209) 579-9494

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1215380381

Devyn Sullivan's National Provider Identifier is 1215380381, issued on Jul 13, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Jul 13, 2016.