Provider Information for 1033844576
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JOHN SULMEYER MFT
Sex: Male
NPI: 1033844576
Last Updated: 2022-07-19
Certification Date: 2022-07-19
Certification Date: 2022-07-19
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1033844576 | ||||||||
| Enumeration Date | 2022-07-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2075 PALOS VERDES DR N STE 212 LOMITA, CA 90717-3726 United States Phone: 310-325-1151 | Fax:310-325-1151 | ||||||||
| Primary Practice Address | 2075 PALOS VERDES DR N STE 212 LOMITA, CA 90717-3726 United States Phone: 310-325-1151 | Fax:310-325-1151 | ||||||||
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