Individual
CRYSTAL LANIECE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4410 NEWBERRY RD STE A3, GAINESVILLE, FL 32607-2290
(352) 262-6257
Mailing address
4410 NEWBERRY RD STE A3, GAINESVILLE, FL 32607-2290
(352) 262-6257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104891
FL
Other
Enumeration date
05/07/2010
Last updated
02/18/2020
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