Individual
ERICA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4937 W JAMESTOWN TRCE, NEW PALESTINE, IN 46163-8565
(317) 403-5018
Mailing address
4937 W JAMESTOWN TRCE, NEW PALESTINE, IN 46163-8565
(317) 403-5018
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
24-017477-1
IN
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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