person
Glenishia K Pulliam
Private Vehicle in Petersburg, Virginia
NPI 1689138414

Glenishia K Pulliam is a Private Vehicle based in Petersburg, VA. Glenishia K Pulliam practices in Petersburg, VA. The NPI Number for Glenishia K Pulliam is 1689138414 and holds a License No. T62511423 (Virginia).

The current practice location address for Glenishia K Pulliam is 3300 Gordon Dr, Petersburg, VA and can be reached out via phone at 804-721-0758.

Location: 3300 Gordon Dr, Petersburg, VA, 23805-2657
person
Provider Profile Details
NPI Number
1689138414
Provider Name
Glenishia K Pulliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
3300 Gordon Dr, Petersburg, VA, 23805-2657
Phone Number
804-721-0758
Fax Number
Provider Enumeration Date
01/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3300 Gordon Dr
City
State
Zip
23805-2657
Phone Number
804-721-0758
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Gordon Dr
City
State
Zip
23805-2657
Phone Number
804-721-0758
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
T62511423 (Virginia)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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