Individual
MRS. CLEARNISE P BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 655-0560
(925) 646-2060
Mailing address
300 ILENE ST, MARTINEZ, CA 94553-2631
(925) 655-0560
(925) 646-2060
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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