Individual
NICOLE DENISE BULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
24255 PACIFIC COAST HWY, MALIBU, CA 90263-3999
(310) 506-4169
Mailing address
2884 SAWTELLE BLVD, #103, LOS ANGELES, CA 90064-3753
(310) 966-1079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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