Individual
MS. MAGDA LIA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
759 S. MAIN STREET, WOODSTOCK, VA 22664
(540) 459-1309
(540) 459-1127
Mailing address
759 S. MAIN STREET, WOODSTOCK, VA 22664
(540) 459-1309
(540) 459-1127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
07/21/2022
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