Individual
MRS. CRYSTAL WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7445 ROBINSON FERRY RD, WHITE PLAINS, VA 23893-2101
(434) 247-0359
(434) 636-2836
Mailing address
7445 ROBINSON FERRY RD, WHITE PLAINS, VA 23893-2101
(434) 247-0359
(434) 636-2836
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T69511265
VA
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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