SUMMER R BLACK

CARBONDALE, IL
NPI1871113696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209021758)
Enumeration Date2020-04-22
Last Update Date2020-11-09
Business Address
SUMMER R BLACK CRNA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
SUMMER R BLACK CRNA
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
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