WILFREDO BULLOCK

BELZONI, MS
NPI1629556808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2018-07-31
Last Update Date2018-07-31
Business Address
WILFREDO BULLOCK
118 HARVEY ST
BELZONI, MS 39038-3112
Phone number: 601-909-5995
Mailing Address
WILFREDO BULLOCK
118 HARVEY ST
BELZONI, MS 39038-3112
Phone number: 601-909-5995