Individual
ROVENNIA L. BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
Mailing address
11500 CONQUISTADOR DR APT 308, EAGLE RIVER, AK 99577-7986
(907) 726-3340
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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