Individual
JASMINE KELLY BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 9TH ST SE APT 227, WASHINGTON, DC 20032-4015
(301) 281-7242
Mailing address
8711 OAKDALE ST, FORT WASHINGTON, MD 20744-1812
(301) 281-7242
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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