Search › Louisiana › 171M00000X
Shannon Bullock
NPI 1417450420 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10711 Vienna St
New Orleans, LA 70127 - Phone
- (504) 813-4616
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Sex
- Female
- Record last updated
- 2018-06-16
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 Louisiana