Jodi Black

NPI #1649771072 in Jefferson, Texas

Provider Information

NPI Number
1649771072
Entity Type
Individual
Name
Jodi Black
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Feb 21, 2018
Last Updated
Feb 21, 2018

Practice Location

Address
120 N WALNUT ST
State
Texas
ZIP Code
75657-1934
Phone
(903) 665-6653

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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