Individual
CRYSTAL SHAWN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
240 W SUGAR LOAF RD, TUCSON, AZ 85737-3756
(520) 603-6689
Mailing address
240 W SUGAR LOAF RD, TUCSON, AZ 85737-3756
(520) 603-6689
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0988
AZ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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