Individual
ELIZABETH BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SOUTH MAIN ST, APT 4, MASONTOWN, WV 26542
(904) 572-6359
Mailing address
PO BOX 376, MASONTOWN, WV 26542-0376
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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