Individual
SUKHDEEP BHULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21709 113TH ST E, BONNEY LAKE, WA 98391-7844
(253) 737-5764
Mailing address
21709 113TH ST E, BONNEY LAKE, WA 98391-7844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61320481
WA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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