SUSAN ELIZABETH BLACK

WEATHERFORD, TX
NPI1356813687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  223835)
Enumeration Date2018-12-27
Last Update Date2018-12-27
Business Address
SUSAN ELIZABETH BLACK LVN
3379 S FORTY DR
WEATHERFORD, TX 76085-8222
Phone number: 817-903-5178
Mailing Address
SUSAN ELIZABETH BLACK LVN
3379 S FORTY DR
WEATHERFORD, TX 76085-8222
Phone number: 817-903-5178
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