Individual
MR. ANTHONY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 AUBIN LN APT 404, BATON ROUGE, LA 70816-8294
(225) 223-5068
Mailing address
2202 AUBIN LN APT 404, BATON ROUGE, LA 70816-8294
(225) 223-5068
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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