JODI BLACK

JEFFERSON, TX
NPI1649771072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  226279)
Enumeration Date2018-02-21
Last Update Date2018-02-21
Business Address
JODI BLACK
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6653
Mailing Address
JODI BLACK
14710 STATE HIGHWAY 154 E
DIANA, TX 75640-3801
Phone number: 903-932-1871
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