NICAIL BLACK

RIVERDALE, UT
NPI1396198685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-07-21
Last Update Date2016-07-21
Business Address
-- NICAIL BLACK
5202 FREEWAY PARK DR
RIVERDALE, UT 84405-4016
Phone number: 801-255-5131
Mailing Address
-- NICAIL BLACK
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131