Michelle Black

NPI #1114334257 in Emeryville, California

Provider Information

NPI Number: 1114334257
Entity Type: Individual
Name: Michelle Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 22, 2014
Last Updated: Jul 22, 2014

Practice Location

Address: 1375 55TH ST
City: Emeryville
State: California
ZIP Code: 94608-2609
Phone: (510) 655-7880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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