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Individual

CATHERINE BULLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908
(210) 292-7380
Mailing address
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9908

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
931130
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
931130
RD CREDENTIAL
TX
Enumeration date
11/02/2006
Last updated
07/08/2007
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