Monique Adriana Bulette, DPT, PT, IBCLC
Lactation Consultant, Non-RN in Dallas, TX. Individual provider (NPI-1).
NPI number1750017000
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1750017000
- Entity type
- Individual (NPI-1)
- Name
- Monique Adriana Bulette
- Credential
- DPT, PT, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2022
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-311206 | TX | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | 1311189 | TX |
Practice location
1308 Birkenhead CtDallas, TX 75204-6102
Phone 972-987-0447
Mailing address
1308 Birkenhead CtDallas, TX 75204-6102
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All 16 Lactation Consultant (Non-RN) providers in Dallas · All 47,373 providers in Dallas
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