Individual
PAMELA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 SUMNER RD SE, WASHINGTON, DC 20020-5837
(202) 910-0432
Mailing address
1121 SUMNER RD SE, WASHINGTON, DC 20020-5837
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041319
—
DC
Enumeration date
08/11/2017
Last updated
08/11/2017
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