Individual
MRS. CAROLINE DELCETA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
NATIONAL NAVAL MEDICAL CENTER ROCKVILLE PIKE, BETHESDA, MD 20850
(301) 295-4880
Mailing address
13116 ARDENNES AVE, ROCKVILLE, MD 20851-2332
(301) 540-1886
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
17660
MD
Other
Enumeration date
04/27/2007
Last updated
05/23/2023
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