Glenishia K Pulliam

NPI #1689138414 in Petersburg, Virginia

Provider Information

NPI Number: 1689138414
Entity Type: Individual
Name: Glenishia K Pulliam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jan 25, 2019
Last Updated: Jan 25, 2019

Practice Location

Address: 3300 GORDON DR
City: Petersburg
State: Virginia
ZIP Code: 23805-2657
Phone: (804) 721-0758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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