LISA A BLACK

CHARLESTON, WV
NPI1497461768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
LISA A BLACK
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
Mailing Address
LISA A BLACK
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number:
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