Individual
REGINA LYNCH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
995 JAYMOR RD STE 1, SOUTHAMPTON, PA 18966-3855
(215) 605-5289
(267) 722-8249
Mailing address
995 JAYMOR RD STE 1, SOUTHAMPTON, PA 18966-3855
(215) 605-5289
(267) 722-8249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN588393
PA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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