Markia Mccullough

NPI #1558964379 in Rochester, New York

Provider Information

NPI Number: 1558964379
Entity Type: Individual
Name: Markia Mccullough
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor - Vehicle Modifications
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 18 RIDDLE ST
City: Rochester
State: New York
ZIP Code: 14611-1010
Phone: (585) 340-7184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X
Peer Specialist	175T00000X
Contractor - Vehicle Modifications — Vehicle Modifications	171WV0202X	Primary

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