Molly Black

NPI #1114529674 in Fort Polk, Louisiana

Provider Information

NPI Number
1114529674
Entity Type
Individual
Name
Molly Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Nov 10, 2020
Last Updated
Jul 8, 2025

Practice Location

Address
1585 3RD ST
ZIP Code
71459-5102
Phone
(210) 862-9692

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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