Individual
ALVA MARIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 GREENHOUSE RD, LEXINGTON, VA 24450-3717
(540) 463-3141
Mailing address
386 MOORES CREEK RD, LEXINGTON, VA 24450-7009
(540) 463-4447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001208688
VA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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