Individual
PAMELLA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-4926
Mailing address
1116 W GROVERS AVE, PHOENIX, AZ 85023-2639
(602) 513-2795
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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