DEMETRIA BULLOCK

PORTLAND, OR
NPI1417493743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Enumeration Date2017-01-10
Last Update Date2017-01-10
Business Address
-- DEMETRIA BULLOCK
847 NE 19TH AVE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- DEMETRIA BULLOCK
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769