Wilfredo Bullock
NPI #1629556808 in Belzoni, Mississippi
Provider Information
- NPI Number
- 1629556808
- Entity Type
- Individual
- Name
- Wilfredo Bullock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 31, 2018
- Last Updated
- Jul 31, 2018
Practice Location
- Address
- 118 HARVEY ST
- City
- Belzoni
- State
- Mississippi
- ZIP Code
- 39038-3112
- Phone
- (601) 909-5995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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