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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MONIESHA AVITA JAVON BULLOCK

Active Sole Proprietor

MONIESHA AVITA JAVON BULLOCK is a In Home Supportive Care Agency healthcare provider located in HENRICO, Virginia. NPI 1003465402 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · HENRICO, VA

Registration Details

NPI Number
1003465402
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2019 (6.7476641292143 yrs)
Last Updated
Sep 9, 2019
Sole Proprietor
Yes

Practice Information

Address
508 LITTLE MARGARET LN
HENRICO, VA, 230751647
Browse VA providers · Browse ZIP 23075
Phone
8048228661
Primary Specialty
In Home Supportive Care Agency
253Z00000X

Other In Home Supportive Care Agency Providers in HENRICO, VA

Name Credential NPI
COURTNEY BRUCE 1124671409
SHERLENE LASHAE SAUNDERS 1770395998
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.