JENNER BLACK

ERIE, PA
NPI1316518012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: PA  RN739888)
Enumeration Date2021-07-05
Last Update Date2021-07-05
Business Address
JENNER BLACK
201 STATE ST
ERIE, PA 16550-0002
Phone number: 814-877-6000
Mailing Address
JENNER BLACK
512 RASPBERRY ST
ERIE, PA 16507-1044
Phone number:
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