Individual
ROBERT BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2246 PRIMROSE LN, AVON, OH 44011-2604
(440) 610-9528
Mailing address
2246 PRIMROSE LN, AVON, OH 44011-2604
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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