JAMIE BLACK

CORONA, CA
NPI1124624218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95016112)
Enumeration Date2020-12-05
Last Update Date2020-12-05
Business Address
JAMIE BLACK NP
4107 ADISHIAN WAY
CORONA, CA 92883-0723
Phone number: 949-302-4106
Mailing Address
JAMIE BLACK NP
4107 ADISHIAN WAY
CORONA, CA 92883-0723
Phone number: 949-302-4106
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