TANGELLA BLACK
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1497165237
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1497165237 is the National Provider Identifier for TANGELLA BLACK, a Student in an Organized Health Care Education/Training Program provider located in Conyers, GA. This NPI was enumerated on May 1, 2014.
TANGELLA BLACK practices at 141 ELLIS DR, Conyers, GA 30012.
Quick Facts
- NPI
- 1497165237
- Type
- Individual
- Enumerated
- May 1, 2014
- Last Updated
- Feb 14, 2016
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