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ALICIA M BULIN NP

Psychiatric/Mental Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1063772580

Individual Registrant:
 ALICIA M BULIN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5768 ACACIA LN  LAKEWOOD, CA 90712 US
Tel: 415-928-7800  Fax: --

Contact information for business:
5768 ACACIA LN  LAKEWOOD, CA 90712-1283 US
Tel: 612-387-2821  Fax: --

Registration Information:
NPI: 1063772580
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WP0808XNursing Service Providers
Registered Nurse
Psychiatric/Mental Health
CA713127
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA21120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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