Individual
TANQUAZIA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 M ST NE APT 817, WASHINGTON, DC 20002-3990
(202) 579-2810
Mailing address
3134 BRINKLEY RD APT 101, CAMP SPRINGS, MD 20748-6347
(202) 276-4289
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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