Phyllis Black

NPI 1295950392 - Nurse's Aide - 376K00000X

NPI Details
NPI 1295950392
Gender Female
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2925 NAVAJO AVE
FORT PIERCE FL, 34946-6740, US
Phone (772) 467-9439
Fax
Business Location
2925 NAVAJO AVE
FORT PIERCE FL, 34946-6740, US
Phone
Fax
Toxanomy
Taxonomy Code 376K00000X
License State Florida
License Number CNA40739
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According to our database, Phyllis Black NPI is 1295950392, taxonomy code is 376K00000X and license number is CNA40739, license state is located at Florida. Phyllis Black physically located at 2925 Navajo Ave, Fort Pierce FL, 34946-6740. NPI Number Phyllis Black has the Individual type.

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1295950392 NPI number is provided on an as is basis without warranty of any kind. 1295950392 is maintained by the National Plan & Provider Enumeration System. The contents of Phyllis Black are for informational purposes only.