Individual
CHELLE NALANI BULOSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 255-2500
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 255-2500
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
Y4222873
CA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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