Individual
BIANCA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1942 PENFIELD ST, PHILADELPHIA, PA 19138-2715
(267) 266-1696
Mailing address
1942 PENFIELD ST, PHILADELPHIA, PA 19138-2715
(267) 266-1696
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
PA
Other
Enumeration date
04/12/2021
Last updated
04/19/2021
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