Individual
MS. SHELLCY ANN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 1ST ST NW LOT 33, ELLENDALE, ND 58436-7421
(701) 535-1582
Mailing address
324 1ST ST NW LOT 33, ELLENDALE, ND 58436-7421
(701) 535-1582
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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