BLAINE BULLOCH
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1275277733
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1275277733 is the National Provider Identifier for BLAINE BULLOCH, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on April 21, 2022.
BLAINE BULLOCH practices at 1501 KINGS HWY, Shreveport, LA 71103.
Quick Facts
- NPI
- 1275277733
- Type
- Individual
- Enumerated
- Apr 21, 2022
- Last Updated
- Apr 21, 2022
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