Individual
MS. ALESIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5224 OLYMPIC DR NW STE 214, GIG HARBOR, WA 98335-1792
(253) 300-0394
Mailing address
8308 GRANITE DR NW, GIG HARBOR, WA 98329
(801) 631-0112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AP60502634
WA
Other
Enumeration date
07/03/2006
Last updated
11/07/2021
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