CRYSTAL CLARK
Adult Companion
Active
Individual
NPI: 1467014894
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse's Aide | 376K00000X | No | NYGA0401903R (NY) |
| Adult Companion | 372600000X | Yes | - |
| Chore Provider | 372500000X | No | - |
Frequently Asked Questions
NPI 1467014894 is the National Provider Identifier for CRYSTAL CLARK, a Adult Companion provider located in Rochester, NY. This NPI was enumerated on July 6, 2019.
CRYSTAL CLARK practices at 153 BRAMBURY DR APT D, Rochester, NY 14621.
Quick Facts
- NPI
- 1467014894
- Type
- Individual
- Enumerated
- Jul 6, 2019
- Last Updated
- Jul 6, 2019
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