Individual
JOSEPH PELULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4893 PRINCE WILLIAM PKWY STE 202, WOODBRIDGE, VA 22192-5404
(703) 272-8838
Mailing address
4893 PRINCE WILLIAM PKWY STE 202, WOODBRIDGE, VA 22192-5404
(703) 272-8838
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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