SearchVirginia253Z00000X

Crystal Banks

NPI 1033987649 · on the registry since 2023 · sole proprietor

Practice

Address
3609 Blaine St
Portsmouth, VA 23703
Phone
(175) 723-0134
Organisation at this address
Grateful Community Services, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia