MARIA ELENA BLACK

PROVO, UT
NPI1932355740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: UT  198112-4405)
Enumeration Date2008-08-12
Last Update Date2008-08-12
Business Address
-- MARIA ELENA BLACK APRN, MSN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7413
Mailing Address
-- MARIA ELENA BLACK APRN, MSN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7413
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