Individual
JASMINE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 HUNT PL NE, WASHINGTON, DC 20019-3619
(240) 687-0224
Mailing address
6212 ERLAND WAY, LANHAM, MD 20706-2480
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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