EKATERINA V BLACK

GASTONIA, NC
NPI1215286513
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  90070)
Enumeration Date2012-08-31
Last Update Date2012-08-31
Business Address
-- EKATERINA V BLACK CRNA
2525 COURT DR
GASTONIA, NC 28054-2140
Phone number: 704-834-4113
Mailing Address
-- EKATERINA V BLACK CRNA
PO BOX 12845
GASTONIA, NC 28052-0017
Phone number: 704-864-8772
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