Individual
SHARON BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 UNIVERSITY RD, LAS VEGAS, NV 89119-6603
(702) 774-5384
Mailing address
1130 UNIVERSITY RD, LAS VEGAS, NV 89119-6603
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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