Individual
DANIELLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 N LAKEWOOD AVE, BALTIMORE, MD 21224-1143
(774) 218-6278
Mailing address
1124 CLEVELAND ST, BALTIMORE, MD 21230-1903
(774) 218-6278
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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