Individual
CRYSTAL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11949 ORAL OAKS RD, VICTORIA, VA 23974-2713
(434) 637-5755
Mailing address
11949 ORAL OAKS RD, VICTORIA, VA 23974-2713
(804) 316-5996
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
09/07/2021
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