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Individual

JOY BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1818 NEWTON ST NW, WASHINGTON, DC 20010-1017
(202) 328-7400
Mailing address
1818 NEWTON ST NW, WASHINGTON, DC 20010-1017
(202) 328-7400

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
HHA14114
DC
376K00000X
Nurse's Aide
Primary
NA00338192
DC
376K00000X
Nurse's Aide
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA00338192
CNA
DC
Enumeration date
10/22/2018
Last updated
10/22/2018
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