Deatrice Lavonna Black, LPN

NPI #1215448352 in Joliet, Illinois

Provider Information

NPI Number
1215448352
Entity Type
Individual
Name
Deatrice Lavonna Black, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Credential
LPN
Enumeration Date
Oct 16, 2017
Last Updated
Oct 16, 2017

Practice Location

Address
503 BELLARMINE DR E APT 7
City
Joliet
ZIP Code
60436-1838
Phone
(815) 456-9757

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse
Licensed Practical Nurse

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