Individual
KAYLA BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NIBLICK RD, PASO ROBLES, CA 93446-4858
(805) 769-1000
Mailing address
800 NIBLICK RD, PASO ROBLES, CA 93446-4858
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95053841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95053841
—
CA
Enumeration date
08/25/2020
Last updated
11/27/2023
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