Individual
MARIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 S COIT RD, #606, PROSPER, TX 75078-3007
(719) 646-9503
Mailing address
880 S COIT RD, #606, PROSPER, TX 75078-3007
(719) 646-9503
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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