Individual
MRS. KOREY BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 E PARKS HWY STE 202, WASILLA, AK 99654-8297
(907) 982-9370
Mailing address
1365 E PARKS HWY STE 202, WASILLA, AK 99654-8297
(907) 982-9370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
AK
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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