ANDREA DENISE BULLOCK

NORWALK, CA
NPI1871297564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: CA  5303-T)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
ANDREA DENISE BULLOCK
12636 BLOOMFIELD AVE APT 51
NORWALK, CA 90650-1411
Phone number: 310-228-7577
Mailing Address
ANDREA DENISE BULLOCK
14445 OLIVE VIEW DR # 1D120
SYLMAR, CA 91342-1437
Phone number: 747-210-4204