Individual
JERI BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGIST
Contact information
Practice address
15800 NORTHCROSS DR STE 103, HUNTERSVILLE, NC 28078-5070
(310) 500-8866
Mailing address
10000 CALDWELL DEPOT RD, CORNELIUS, NC 28031-8128
(310) 500-8866
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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