Individual provider · Type 1 NPI
Crystal Gillyard
Driver · Lake Wales, FL
NPI number
1457098899
Active
Practice location
219 Dinner Lake Pl
Lake Wales, FL 33859-2104
Mailing address
401 Winston Ave Apt B1
Lake Wales, FL 33853-5057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | G463104856650 (FL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Lake Wales
About NPI 1457098899
Crystal Gillyard's National Provider Identifier is 1457098899, issued on May 17, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lake Wales, FL. The record was last updated on May 17, 2022.