Nathan Michael Andrew Black
NPI #1164080396 in Seattle, Washington
Provider Information
- NPI Number
- 1164080396
- Entity Type
- Individual
- Name
- Nathan Michael Andrew Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Religious Nonmedical Practitioner
- Enumeration Date
- Jun 3, 2019
- Last Updated
- Jun 3, 2019
Practice Location
- Address
- 1660 S COLUMBIAN WAY
- City
- Seattle
- State
- Washington
- ZIP Code
- 98108-1532
- Phone
- (206) 764-2023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Practitioner |
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