Individual
CRYSTAL L BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 BLAINE ST, PORTSMOUTH, VA 23703-3117
(175) 723-0134
Mailing address
3609 BLAINE ST, PORTSMOUTH, VA 23703-3117
(175) 723-0134
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
9481
VA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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