MS. Shellcy Ann Bullock

NPI #1447989124 in Ellendale, North Dakota

Provider Information

NPI Number: 1447989124
Entity Type: Individual
Name: MS. Shellcy Ann Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jun 7, 2022
Last Updated: Jun 7, 2022

Practice Location

Address: 324 1ST ST NW LOT 33
City: Ellendale
State: North Dakota
ZIP Code: 58436-7421
Phone: (701) 535-1582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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