Individual
KATIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM, RN
Contact information
Practice address
100 FOUNDERS WAY STE 5, STRASBURG, VA 22657-3791
(540) 227-4949
Mailing address
948 REFUGE CHURCH RD, STEPHENS CITY, VA 22655-5621
(703) 217-3941
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000195
VA
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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