Individual
AQILAH RIVENS BULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5840 E WT HARRIS BLVD, STE 109 PMB 1074, CHARLOTTE, NC 28215
(646) 739-6249
Mailing address
5840 E WT HARRIS BLVD, STE 109 PMB 1074, CHARLOTTE, NC 28215
(646) 739-6249
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22791
NC
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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