VELVET RAINE BULLOCK

CRAWLEY, WV
NPI1174195770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-07-13
Last Update Date2021-07-13
Business Address
VELVET RAINE BULLOCK
530 GRAY GABLES RD
CRAWLEY, WV 24931-9738
Phone number: 304-392-6270
Mailing Address
VELVET RAINE BULLOCK
1187 GRAY GABLES RD
CRAWLEY, WV 24931-9606
Phone number: 304-392-6270
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