LATANYA BLACK

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1588074132

Practice Address

3125 66TH AVE N
Brooklyn Center, MN 55429

Phone: (763) 432-6868

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1588074132 is the National Provider Identifier for LATANYA BLACK, a Student in an Organized Health Care Education/Training Program provider located in Brooklyn Center, MN. This NPI was enumerated on May 5, 2014.
LATANYA BLACK practices at 3125 66TH AVE N, Brooklyn Center, MN 55429.

Quick Facts

NPI
1588074132
Type
Individual
Enumerated
May 5, 2014
Last Updated
May 5, 2014

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