Individual
RONNA LEIGH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KINGS CT, ONA, WV 25545-9746
(304) 972-5667
Mailing address
5891 DAVIS CREEK RD TRLR 32, BARBOURSVILLE, WV 25504-1154
(304) 972-5667
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
26416
WV
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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