Individual
DIANA LOUISE BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
215 PESETAS LN, SANTA BARBARA, CA 93110-1416
(805) 681-1761
(805) 681-1768
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1761
(805) 681-1768
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN498168
CA
Other
Enumeration date
07/30/2007
Last updated
09/22/2009
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