Most Relevant Information
Provider Data
| NPI Number: | 1003640137 |
| Provider Name: | ALICSUN BULLICER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2024 |
| Last Updated: | 09/06/2024 |
Provider Practice Location
625 E MAIN ST
SANTA PAULA
CA
930602608
Practice Location Phone/Fax
| Phone: | 8055254469 |
| Fax: |
Provider Mailing Location
625 E MAIN ST
SANTA PAULA
CA
930602608
Provider Mailing Phone/Fax
| Phone: | 8055254669 |
| Fax: |