Individual
MRS. CHELSEA LYN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4716 ALLIANCE BLVD STE 310, PLANO, TX 75093-5325
(469) 814-3840
Mailing address
4716 ALLIANCE BLVD STE 310, PLANO, TX 75093-5325
(469) 814-3840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86052447
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86052447
COMMISSION ON DIETETIC REGISTRATION ID
—
Enumeration date
12/08/2020
Last updated
12/08/2020
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