Moniesha Avita Javon Bullock
Moniesha Avita Javon Bullock is an In Home Supportive Care Agency in Henrico, Virginia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
508 Little Margaret LnHenrico, VA 23075-1647
Phone: (804) 822-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1003465402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2019 |
| Last updated in NPPES | September 9, 2019 |
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