Individual provider · Type 1 NPI

Crystal Clark

Driver · Blacksburg, VA

NPI number 1477213619 Active

Practice location

3700 S Main St
Blacksburg, VA 24060-7017

Call (540) 951-1111 Map

Mailing address

506 Essex Ct # 1
Blacksburg, VA 24060-6464

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XA69874069 (VA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1477213619

Crystal Clark's National Provider Identifier is 1477213619, issued on Dec 29, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Blacksburg, VA. The record was last updated on Dec 29, 2021.