MS. Crystal Gayle Bullock
MS. Crystal Gayle Bullock is a Clinical Medical Laboratory in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2025
Practice location Address checks out
9838 Fairfax Sq Apt 264Fairfax, VA 22031-4238
Phone: (917) 214-8795
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 49D2314134 (VA) |
|---|
Record details
| NPI number | 1285437830 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 29, 2025 |
| Last updated in NPPES | March 29, 2025 |
| Certification date | March 25, 2025 |
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