ANGELIQUE BLACK, PA
Physician Assistant - Medical
Active
Individual
NPI: 1932127644
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 0110002122 (VA) |
Frequently Asked Questions
NPI 1932127644 is the National Provider Identifier for ANGELIQUE BLACK, PA, a Physician Assistant - Medical provider located in Reston, VA. This NPI was enumerated on July 18, 2006.
ANGELIQUE BLACK, PA practices at 1850 TOWN CENTER PARKWAY, SUITE 400, Reston, VA 20190.
Quick Facts
- NPI
- 1932127644
- Type
- Individual
- Enumerated
- Jul 18, 2006
- Last Updated
- Jul 8, 2007
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