Individual
CHRISTINA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 WOODBURY AVE APT 1, COUNCIL BLUFFS, IA 51503-7865
(402) 686-6552
Mailing address
536 WOODBURY AVE APT 1, COUNCIL BLUFFS, IA 51503-7865
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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