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Andrea Bullock
NPI 1871297564 · on the registry since 2023 · sole proprietor
Practice
- Address
- 12636 Bloomfield Ave Apt 51
Norwalk, CA 90650 - Phone
- (310) 228-7577
Registry record
- Primary taxonomy
- 225800000X
225800000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-28
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 California