Individual
CRYSTAL DAWN BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)(T)
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-7815
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
8872208
OH
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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