Individual
HOLLY BULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 REWAK DR STE 103, FAIRBANKS, AK 99709-5024
(907) 531-6919
Mailing address
1298 RICHARD BERRY DR, FAIRBANKS, AK 99709-5900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
233554
AK
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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