Individual
SHEMIKA BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14520 YARROW CT, ADELANTO, CA 92301-4275
(760) 953-2961
Mailing address
14520 YARROW CT, ADELANTO, CA 92301-4275
(760) 953-2961
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
D4069789
CA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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