Individual
MRS. GAIL BULLOCK TINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7706 BRYN MAWR RD, RICHMOND, VA 23229-6604
(804) 264-2550
(804) 264-2550
Mailing address
7912 CAPISTRANO DR, RICHMOND, VA 23227-2106
(804) 264-2550
(804) 264-2550
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193200000X
—
VA
05
—
541471254
—
VA
Enumeration date
01/05/2012
Last updated
01/05/2012
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