Individual
BRITTANY N BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1400 W MARKET ST APT 54, CELINA, OH 45822-9295
(937) 489-3613
Mailing address
1400 W MARKET ST APT 54, CELINA, OH 45822-9295
(937) 489-3613
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
602270101020
OH
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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