Michelle Diane Bullard

NPI 1679773030 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1679773030
Gender Female
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
SAN RAFAEL CA, 94901-2120, US
Phone (415) 459-5999
Business Location
315 C ST
SAN RAFAEL CA, 94901-4918, US
Phone (707) 815-1297
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Michelle Diane Bullard NPI is 1679773030, taxonomy code is 106H00000X Michelle Diane Bullard physically located at 1330 Lincoln Ave, San Rafael CA, 94901-2120. NPI Number Michelle Diane Bullard has the Individual type.

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1679773030 NPI number is provided on an as is basis without warranty of any kind. 1679773030 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Diane Bullard are for informational purposes only.