Individual
MRS. CRYSTAL GAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
181 CAMPBELL LN, TAZEWELL, VA 24651-9784
(304) 922-4873
Mailing address
181 CAMPBELL LN, TAZEWELL, VA 24651-9784
(304) 922-4873
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019006921
VA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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