Individual
YVETTE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMOLOGIST HAIR REP
Contact information
Practice address
275 WATERDOWN DR, 10, FAYETTEVILLE, NC 28314-4545
(910) 850-6631
(877) 463-6834
Mailing address
275 WATERDOWN DR, 10, FAYETTEVILLE, NC 28314-4545
(910) 850-6631
(877) 463-6834
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C3334
NC
Other
Enumeration date
05/27/2014
Last updated
09/09/2020
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