SearchVirginia174400000X

Ave' Bullard, P. T

NPI 1598105199 · on the registry since 2013 · sole proprietor

Practice

Address
5998 Providence Rd
Suite 106
Virginia Beach, VA 23464
Phone
(757) 672-6490
Organisation at this address
Our Brother'S Keeper Home Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia