Sandra Black, 376J00000X

NPI #1033527833 in Columbus, Ohio

Provider Information

NPI Number: 1033527833
Entity Type: Individual
Name: Sandra Black, 376J00000X
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Credential: 376J00000X
Enumeration Date: Jul 25, 2014
Last Updated: Jul 25, 2014

Practice Location

Address: 1155 S CHAMPION AVE
City: Columbus
State: Ohio
ZIP Code: 43206-3025
Phone: (614) 648-2311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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