Tina Black

NPI #1083982045 in Kelso, Washington

Provider Information

NPI Number: 1083982045
Entity Type: Individual
Name: Tina Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Dec 6, 2011
Last Updated: Dec 6, 2011

Practice Location

Address: 210 SPARKS DR
City: Kelso
State: Washington
ZIP Code: 98626-1818
Phone: (360) 431-8275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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