Individual
HUNTER KEITH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9211 N YUMA TRL, NEGLEY, OH 44441-9762
(724) 601-0685
Mailing address
9211 N YUMA TRL, NEGLEY, OH 44441-9762
(724) 601-0685
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN703636
PA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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