CRYSTAL Y CLARK

BECKLEY, WV
NPI1942567763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  63168)
Enumeration Date2012-04-18
Last Update Date2012-04-18
Business Address
-- CRYSTAL Y CLARK FNP
200 RALEIGH AVE
BECKLEY, WV 25801-5961
Phone number: 304-252-8541
Mailing Address
-- CRYSTAL Y CLARK FNP
252 RURAL ACRES DR.
BECKLEY, WV 25801
Phone number: 304-253-2628