Individual
DANIELLE SAMONE BULLOCK-MOWOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110-3719
(216) 800-8020
(216) 830-7652
Mailing address
15105 SAINT CLAIR AVE, CLEVELAND, OH 44110-3719
(216) 800-8020
(216) 830-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.149097
OH
Other
Enumeration date
04/02/2020
Last updated
04/24/2026
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