Individual
MRS. CATHERINE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICE TECHNICIAN
Contact information
Practice address
607 29TH ST SE APT C4, AUBURN, WA 98002-7778
(253) 271-8217
Mailing address
607 29TH ST SE APT C4, AUBURN, WA 98002-7778
(253) 271-8217
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
247200000
WA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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