Individual
CORINNE BULLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
418 HARRIS ST, JUNEAU, AK 99801-1083
(907) 321-7781
Mailing address
PO BOX 21161, JUNEAU, AK 99802-1161
(907) 321-7781
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101366
AK
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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