Individual
ASYA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 273-4111
Mailing address
566 SAINT CLAIR ST, DETROIT, MI 48214-3662
(313) 290-1540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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