EMALEE GRACE BLACK

MEDINA, OH
NPI1083561070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.0041714)
Enumeration Date2026-03-11
Last Update Date2026-03-11
Business Address
EMALEE GRACE BLACK
1065 WADSWORTH RD
MEDINA, OH 44256-3214
Phone number: 330-242-6185
Mailing Address
EMALEE GRACE BLACK
1065 WADSWORTH RD
MEDINA, OH 44256-3214
Phone number: 330-242-6185