Crystal Clem
Technician, Personal Care Attendant in Weston, WV. Individual provider (NPI-1).
NPI number1114697232
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1114697232
- Entity type
- Individual (NPI-1)
- Name
- Crystal Clem
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2021
- Certification date
- Oct 25, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 376J00000X | Homemaker | – | – |
Practice location
171 W 2nd StWeston, WV 26452-1665
Phone 304-269-5738
Mailing address
171 W 2nd StWeston, WV 26452-1665
Phone 304-269-5738
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All 263 Personal Care Attendant providers in Weston · All 573 providers in Weston
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