Individual
DR. CRYSTAL ICENHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
45925 HORSESHOE DR STE 170, STERLING, VA 20166-6609
(703) 229-0406
Mailing address
45925 HORSESHOE DR STE 170, STERLING, VA 20166-6609
(703) 229-0406
Taxonomy
Speciality
Code
Description
License number
State
207SG0205X
Ph.D. Medical Genetics Physician
Primary
CLF0001793
VA
Other
Enumeration date
04/16/2018
Last updated
01/20/2021
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