Individual
MS. BREONA LASHAWN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6609 VIRGINIA PKWY, MCKINNEY, TX 75071-5513
(972) 542-8884
Mailing address
844 19TH ST SE, PARIS, TX 75460-7515
(903) 491-6563
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
926806
TX
367A00000X
Advanced Practice Midwife
Primary
1060449
TX
Other
Enumeration date
11/24/2021
Last updated
12/14/2021
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