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Individual

MICHELLE BULLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HHA

Contact information

Practice address
5316 HARAS PL, FT WASHINGTON, MD 20744-3053
(240) 299-5767
(202) 545-0934
Mailing address
5316 HARAS PL, FT WASHINGTON, MD 20744-3053
(240) 299-5767
(202) 545-0934

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/03/2014
Last updated
02/03/2014
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