LELAND PAUL BLACK

RANCHO MIRAGE, CA
NPI1275279952
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-06
Last Update Date2022-05-15
Business Address
LELAND PAUL BLACK
39000 BOB HOPE DRIVE
RANCHO MIRAGE, CA 92270
Phone number: 760-941-9357
Mailing Address
LELAND PAUL BLACK
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270-3221
Phone number: