Individual
DR. STACEY ANN TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8651 JOHN J KINGMAN RD, BLDG 2321, FT BELVOIR, VA 22060-6200
(703) 781-3695
Mailing address
2445 LYTTONSVILLE RD APT 907, SILVER SPRING, MD 20910-1934
(307) 575-2194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002411
VA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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