MIRANDA A BLACK

JACKSONVILLE, FL
NPI1518703933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5169477)
Enumeration Date2024-07-04
Last Update Date2024-07-04
Business Address
MIRANDA A BLACK LPN
1985 W 30TH ST
JACKSONVILLE, FL 32209-3787
Phone number: 904-466-7339
Mailing Address
MIRANDA A BLACK LPN
1985 W 30TH ST
JACKSONVILLE, FL 32209-3787
Phone number: 904-466-7339