Krysta Black

NPI #1063196046 in Holland, Michigan

Provider Information

NPI Number: 1063196046
Entity Type: Individual
Name: Krysta Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 12265 JAMES ST
City: Holland
State: Michigan
ZIP Code: 49424-8613
Phone: (616) 393-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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