Individual
MRS. TIFFANIE BULLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 W PORT ST, SAINT MARTINVILLE, LA 70582-3923
(337) 394-3097
Mailing address
1022 HIGGINBOTHAM RD, SAINT MARTINVILLE, LA 70582-7024
(337) 251-0258
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN099438
LA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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