CRYSTAL GAYLE BULLOCK

FAIRFAX, VA
NPI1285437830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: VA  49D2314134)
Enumeration Date2025-03-29
Last Update Date2025-03-29
Business Address
Ms. CRYSTAL GAYLE BULLOCK
9838 FAIRFAX SQ APT 264
FAIRFAX, VA 22031-4238
Phone number: 917-214-8795
Mailing Address
Ms. CRYSTAL GAYLE BULLOCK
9838 FAIRFAX SQ APT 264
FAIRFAX, VA 22031-4238
Phone number: 917-214-8795
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