Dina Bullard
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1669953253
StatusActive
Last updated in NPPESAug 22, 2018
Details
- NPI
- 1669953253
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Dina Bullard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2018
- Last updated
- Aug 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
Mailing address
333 S Beaudry AveLos Angeles, CA 90017-1466
Phone 213-241-3841 · Fax 213-241-3305
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