Individual
JOSEPHINE L BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, C1831, DETROIT, MI 48201-1916
(313) 576-4431
(313) 576-1812
Mailing address
4646 JOHN R ST, C1831, DETROIT, MI 48201-1916
(313) 576-4431
(313) 576-1812
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704095091
MI
Other
Enumeration date
01/05/2007
Last updated
07/16/2007
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