BROOKLYN R BLACK

PETERSBURG, WV
NPI1295406544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
BROOKLYN R BLACK
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666
Mailing Address
BROOKLYN R BLACK
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666