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Individual

MRS. DANIELLE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16701 MELFORD BLVD, BOWIE, MD 20715-4305
(301) 388-8775
Mailing address
12302 RONALD BEALL RD, UPPER MARLBORO, MD 20774-5682
(301) 388-8775

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
246RP1900X
Phlebotomy Technician
Primary
372500000X
Chore Provider
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/25/2020
Last updated
10/25/2020
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