Individual
ANITA FRANCOIS BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12 BRIAR MILLS DR, BRICK, NJ 08724-1436
(800) 950-6066
Mailing address
12 BRIAR MILLS DR, BRICK, NJ 08724-1436
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA0000967678
NJ
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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