Jessica Black

NPI #1417580234 in Harlan, Kentucky

Provider Information

NPI Number
1417580234
Entity Type
Individual
Name
Jessica Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Feb 20, 2020
Last Updated
Feb 20, 2020

Practice Location

Address
640 MAY ST
City
Harlan
ZIP Code
40831-1628
Phone
(606) 273-8096

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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