Individual
REBECCA BERGMAN BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2719 E MADISON ST STE 203, SEATTLE, WA 98112-4752
(206) 568-7545
Mailing address
733 17TH AVE E, SEATTLE, WA 98112-3921
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
61244103
WA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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