ILANA BLACK

CRANSTON, RI
NPI1982282653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN02467)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: RI  APRN02467)
Enumeration Date2021-04-01
Last Update Date2021-04-01
Business Address
ILANA BLACK
18 SLATE HILL RD
CRANSTON, RI 02920-3094
Phone number: 401-575-0703
Mailing Address
ILANA BLACK
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: