Individual
JESSICA ROSE BULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1012 MARQUEZ PL # 211, SANTA FE, NM 87505-1834
(505) 302-0095
Mailing address
600 ARMIJO ST APT 1, SANTA FE, NM 87501-2271
(678) 756-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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