Angelica Bullay

NPI #1023509635 in Saint Louis, Missouri

Provider Information

NPI Number: 1023509635
Entity Type: Individual
Name: Angelica Bullay
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 7700 MINNESOTA AVE
City: Saint Louis
State: Missouri
ZIP Code: 63111-3336
Phone: (314) 437-5243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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