MRS. Katherine Black, PA

NPI #1104406743 in Manassas, Virginia

Provider Information

NPI Number: 1104406743
Entity Type: Individual
Name: MRS. Katherine Black, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 8, 2021
Last Updated: Apr 8, 2021

Practice Location

Address: 8100 ASHTON AVE STE 200
City: Manassas
State: Virginia
ZIP Code: 20109-5688
Phone: (877) 415-4116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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