Individual
KAREN ELENA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 424-0390
Mailing address
18674 RUTHERFORD ST, DETROIT, MI 48235-2942
(313) 870-0013
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704229788
MI
Other
Enumeration date
05/23/2007
Last updated
04/02/2025
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