Clark, Crystal

Clark, Crystal is an sole proprietor health care provider with primary practice located at 153 Brambury Dr Apt D , Rochester NY 14621-1820. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Chore Provider. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Clark, Crystal can be contacted via phone (404) 621-2852.

Contact Information

Primary practice address
153 Brambury Dr Apt D Rochester NY 14621-1820
Phone: (404) 621-2852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X NYGA0401903R New York
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1467014894
LBN Legal business name Clark, Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2019
Last updated Jul 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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