Individual
JAMES PAUL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11374 MOUNTAIN VIEW AVE STE A, LOMA LINDA, CA 92354-3816
(909) 558-6715
Mailing address
33979 LILY RD # 92, YUCAIPA, CA 92399-2287
(714) 872-3970
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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