Individual
LESLIE ANN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOE, RD
Contact information
Practice address
195 MCGREGOR ST STE 312, MANCHESTER, NH 03102-3749
(603) 663-6297
(603) 663-6735
Mailing address
195 MCGREGOR ST STE 312, MANCHESTER, NH 03102-3749
(603) 663-6297
(603) 663-6735
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
173
NH
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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