Individual
CRYSTAL CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 RIVERSIDE STATION BLVD, SECAUCUS, NJ 07094-4418
(973) 510-5489
Mailing address
2441 RIVERSIDE STATION BLVD, SECAUCUS, NJ 07094-4418
(973) 510-5489
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49633600
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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