Alexa Bullerdieck, LIC.AC.

NPI #1205186921 in Somerville, Massachusetts

Provider Information

NPI Number: 1205186921
Entity Type: Individual
Name: Alexa Bullerdieck, LIC.AC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: LIC.AC.
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 32 BOW ST
Address 2: #3
City: Somerville
State: Massachusetts
ZIP Code: 02143-2934
Phone: (617) 909-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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