Individual
SHARON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 655-2641
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 655-2641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
410941
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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