SearchNew Mexico106S00000X

Tracey Bullock, RBT

NPI 1265948038 · on the registry since 2017

Practice

Address
830 W 14th St
Portales, NM 88130
Phone
(575) 825-1229

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico