Al Bulak, NUTRITIONIST
NPI #1225837065 in Coto De Caza, California
Provider Information
- NPI Number
- 1225837065
- Entity Type
- Individual
- Name
- Al Bulak, NUTRITIONIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nutritionist - Nutrition, Education
- Credential
- NUTRITIONIST
- Enumeration Date
- Mar 12, 2025
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 65 BRASSIE LN
- City
- Coto De Caza
- State
- California
- ZIP Code
- 92679-4942
- Phone
- (918) 271-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Nutritionist |
| Nutritionist - Nutrition, Education — Nutrition, Education |
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| Shelly Wingert | |
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Organizations
| Provider Name | |
|---|---|
| Family Bridges INC |
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