Individual
DR. CRYSTAL MOORE-MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
919 COPPER STONE CIR, CHESAPEAKE, VA 23320-8270
(757) 286-7116
(757) 819-7896
Mailing address
919 COPPER STONE CIR, CHESAPEAKE, VA 23320-8270
(757) 286-7116
(757) 819-7896
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0101239410
VA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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