TARAN LAVONTAYA BLACK

PENSACOLA, FL
NPI1619444973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
TARAN LAVONTAYA BLACK
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501-1857
Phone number: 850-469-3500
Mailing Address
TARAN LAVONTAYA BLACK
1221 W LAKEVIEW AVE
PENSACOLA, FL 32501-1857
Phone number:
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