ERICA LYNN BLACK

SEATTLE, WA
NPI1225275407
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA60066922)
Enumeration Date2009-01-09
Last Update Date2009-12-02
Business Address
ERICA LYNN BLACK LMP
2629 SW ANDOVER ST
SEATTLE, WA 98126-2591
Phone number: 404-271-1008
Mailing Address
ERICA LYNN BLACK LMP
4728 DELRIDGE WAY SW
SEATTLE, WA 98106-1329
Phone number: 404-271-1008
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