DIANE ELAINE BLACK

SALEM, VA
NPI1114258357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: PA  572543)
Enumeration Date2010-01-28
Last Update Date2010-01-28
Business Address
Ms. DIANE ELAINE BLACK MS,RD,CDE
2157 APPERSON DR
SALEM, VA 24153-7235
Phone number: 540-777-0000
Mailing Address
Ms. DIANE ELAINE BLACK MS,RD,CDE
10102 EDGECOMBE PL NE
BAINBRIDGE ISLAND, WA 98110-4334
Phone number: 412-400-3204
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