KRYSTA BLACK

Case Manager/Care Coordinator

Active Individual
NPI: 1063196046

Practice Address

12265 JAMES ST
Holland, MI 49424

Phone: (616) 393-5698

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1063196046 is the National Provider Identifier for KRYSTA BLACK, a Case Manager/Care Coordinator provider located in Holland, MI. This NPI was enumerated on June 12, 2023.
KRYSTA BLACK practices at 12265 JAMES ST, Holland, MI 49424.

Quick Facts

NPI
1063196046
Type
Individual
Enumerated
Jun 12, 2023
Last Updated
Jun 12, 2023

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