JASON LINVILLE BLACK

TORRANCE, CA
NPI1164274833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95029238)
Enumeration Date2024-04-04
Last Update Date2024-04-04
Business Address
JASON LINVILLE BLACK Nurse Practitioner
1000 W CARSON ST
TORRANCE, CA 90502-2059
Phone number: 424-306-6595
Mailing Address
JASON LINVILLE BLACK Nurse Practitioner
2250 NORCO DR
NORCO, CA 92860-1118
Phone number: 310-497-2777
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