BRENDA MARIE BLACK

REIDSVILLE, GA
NPI1518122563
Former NameBRENDA MARIE BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN051788)
Enumeration Date2008-07-18
Last Update Date2008-07-18
Business Address
Mrs. BRENDA MARIE BLACK LPN
150 MEMORIAL DRIVE 150 MEMORIAL DRIVE
REIDSVILLE, GA 30453
Phone number: 912-557-6794
Mailing Address
Mrs. BRENDA MARIE BLACK LPN
PO BOX 818 150 MEMORIAL DRIVE
REIDSVILLE, GA 30453-0818
Phone number: 912-557-6794