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Individual

DANIEL RYAN BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1120 20TH ST NW, WASHINGTON, DC 20036-3406
(845) 220-6193
Mailing address
5235 WESTBARD AVE APT 307, BETHESDA, MD 20816-1411
(845) 220-6193

Taxonomy

Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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