PHYLLIS BLACK

FORT PIERCE, FL
NPI1295950392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: FL  CNA40739)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- PHYLLIS BLACK
2925 NAVAJO AVE
FORT PIERCE, FL 34946-6740
Phone number: 772-467-9439
Mailing Address
-- PHYLLIS BLACK
2925 NAVAJO AVE
FORT PIERCE, FL 34946-6740
Phone number:
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