Individual
ANN RAE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 ELM ST, NEW BEDFORD, MA 02740-6006
(508) 994-0217
(508) 994-5489
Mailing address
5 DWIGHT ST, CUMBERLAND, RI 02864-2408
(508) 994-0217
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
18686
RI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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