Crystal Clark
Crystal Clark is a Licensed Practical Nurse in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.
- Licensed in
- NC
- In the registry since
- 2021
Practice location Address checks out
650 Highland Ave # 100Winston Salem, NC 27101-4304
Phone: (336) 607-8523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 091485 (NC) |
|---|
Record details
| NPI number | 1194391185 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 1, 2021 |
| Last updated in NPPES | June 1, 2021 |
| Certification date | May 31, 2021 |
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