Carnesha Mishell Bullocks

NPI #1851989628 in Perris, California

Provider Information

NPI Number: 1851989628
Entity Type: Individual
Name: Carnesha Mishell Bullocks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 6, 2021
Last Updated: Jan 6, 2021

Practice Location

Address: 1215 IRIS TRL
City: Perris
State: California
ZIP Code: 92571-7543
Phone: (909) 328-0985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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