Individual
ANDREA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 PENN ST, READING, PA 19602-1000
(610) 376-6077
(610) 376-6944
Mailing address
120 PROSPECT ST, READING, PA 19606-2871
(610) 376-6077
(610) 376-6944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN632048
PA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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