Individual
MS. BETTY LOU BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3224
(916) 344-0199
(916) 344-0196
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3224
(916) 344-0199
(916) 344-0196
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/24/2008
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