Individual
MRS. ERIKA LEE BLACK-MARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-0465
Mailing address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-0465
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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