Individual
JUSTIN BULGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10015 ROBERT LARSON, LAS CRUCES, NM 88007-9005
(575) 305-5778
Mailing address
10015 ROBERT LARSON, LAS CRUCES, NM 88007-9005
(575) 305-5778
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
07/17/2025
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