JOHN BLACK

MODESTO, CA
NPI1417014176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
-- JOHN BLACK
1601 YOSEMITE BLVD SUITE A
MODESTO, CA 95354-2800
Phone number: 209-341-1824
Mailing Address
-- JOHN BLACK
5336 AVENUE D
MODESTO, CA 95358-9445
Phone number: 209-537-1516