Individual
MERILYN ALICE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
316 CHEROKEE PASS, AUGUSTA, WV 26704-7625
(443) 618-8040
Mailing address
316 CHEROKEE PASS, AUGUSTA, WV 26704-7625
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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