Individual
ANNA-MICHAELA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2295
(650) 723-4422
Mailing address
518 CAROBE CT, UNION CITY, CA 94587-1412
(408) 806-8740
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
615162
CA
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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