MICHELLE RAEGENE BLACK

DENVER, CO
NPI1598889123
Other NameSHELBY RAEGENE BLACK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: CO  246ZS0400X)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- MICHELLE RAEGENE BLACK
1200 CHEROKEE ST UNIT #203
DENVER, CO 80204-3664
Phone number: 303-601-5171
Mailing Address
-- MICHELLE RAEGENE BLACK
5303 E EVANS AVE SUITE #302
DENVER, CO 80222-5229
Phone number: 303-777-3788