Crystal Clark's National Provider Identifier (NPI) Details
Crystal Clark,
NPI: 1548742141
Enumeration Date: 2018-08-30
Last updated: 2023-11-28
Sole Proprietor: YES
Status: active
Postal Address: 840 N AVENUE 66, LOS ANGELES, CA
Phone: 310-404-6112
Primary Practice Address: PO BOX 272, MANHATTAN BEACH, CA
Practice's phone: 310-404-6112