Individual
MS. DARYL A BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 GREENWICH CIR, DANVILLE, VA 24540-3234
(434) 709-7624
Mailing address
432 GREENWICH CIR, DANVILLE, VA 24540-3234
(434) 709-7624
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T60218804
VA
Other
Enumeration date
01/09/2019
Last updated
09/04/2019
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