Individual
PATRICIA J BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10A BECKFORD ST # 10A, BEVERLY, MA 01915-3138
(781) 910-9809
Mailing address
10A BECKFORD ST, BEVERLY, MA 01915-3138
(781) 910-9809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN80421
MA
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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