Individual
CHRISTIAN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1119 S NEW YORK AVE, WELLSTON, OH 45692-2427
(740) 395-6172
Mailing address
1119 S NEW YORK AVE, WELLSTON, OH 45692-2427
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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