Individual
SUZANNE MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7835 NINA ST, OMAHA, NE 68124-4014
(303) 523-8669
Mailing address
7835 NINA ST, OMAHA, NE 68124-4014
(303) 523-8669
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
12/04/2025
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