Individual
KRISTA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 BEN KEY, VIRGINIA BEACH, VA 23452
(757) 635-1897
Mailing address
3713 BEN KEY, VIRGINIA BEACH, VA 23452
(757) 635-1897
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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