Amie Marion Black, LMT
NPI #1750594735 in Lake Arrowhead, California
Provider Information
- NPI Number
- 1750594735
- Entity Type
- Individual
- Name
- Amie Marion Black, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Credential
- LMT
- Enumeration Date
- May 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 29099 HOSPITAL RD
- Address 2
- SUITE 103
- City
- Lake Arrowhead
- State
- California
- ZIP Code
- 92352-1476
- Phone
- (909) 337-5928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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