Individual
KAVON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19151 WOODINGHAM DR, DETROIT, MI 48221-1650
(313) 308-7111
Mailing address
19151 WOODINGHAM DR, DETROIT, MI 48221-1650
(313) 308-7111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108639
MI
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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