HAROLD MICAGAH BLACK

FAIRFAX, VA
NPI1831198084
Other NameMIKE BLACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024070513)
Enumeration Date2005-07-19
Last Update Date2008-09-09
Business Address
-- HAROLD MICAGAH BLACK CRNA
3600 JOSEPH SIEWICK DR
FAIRFAX, VA 22033-1709
Phone number: 703-391-3129
Mailing Address
-- HAROLD MICAGAH BLACK CRNA
PO BOX 37090
BALTIMORE, MD 21297-3090
Phone number: 703-295-9360
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