Individual
AUNYAIL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 MELROSE ST, HARRISBURG, PA 17104-2747
(717) 756-6058
Mailing address
702 MELROSE ST, HARRISBURG, PA 17104-2747
(717) 756-6058
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
20084530
PA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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