Individual
MISS YOLANDA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4357
Mailing address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
43013
CA
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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