Individual
MRS. SABRINA BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
606 VIRGINIA AVENUE, CLARKSVILLE, VA 23927
(252) 432-0102
(252) 438-3735
Mailing address
2383 EGYPT MTN. RD., KITTRELL, NC 27544-9603
(252) 432-0102
(252) 438-3735
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000011
VA
Other
Enumeration date
10/03/2006
Last updated
11/29/2007
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