Individual
DR. LIANA N BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4819
(253) 968-3760
(253) 968-3168
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-6068
(253) 968-2951
(253) 968-3168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11890
CA
Other
Enumeration date
11/30/2005
Last updated
06/08/2020
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