Crystina Davis
Driver in Portsmouth, VA. Individual provider (NPI-1).
NPI number1164040853
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1164040853
- Entity type
- Individual (NPI-1)
- Name
- Crystina Davis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | T60699412 | VA | Yes |
| 172A00000X | Driver | – | – |
Practice location
602 Edwards St Apt FPortsmouth, VA 23704-6748
Phone 757-372-7501
Mailing address
602 Edwards St Apt FPortsmouth, VA 23704-6748
Phone 757-372-7501
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All 23 Driver providers in Portsmouth · All 3,843 providers in Portsmouth
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