NPI 1003652983

Makenna Sullivan

Practitioner Athletic Trainer San Diego, CA

Practice location

Address: 3900 Lomaland Dr, San Diego, CA 92106-2810
Phone: (619) 494-9813

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003652983
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2024
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.