Individual
DAVETTE BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4150 DORMAN RD, PLEASANTON, CA 94588-4411
(925) 426-4220
Mailing address
5758 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4083
(925) 462-5500
(925) 426-4290
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
568291
CA
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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