Bertha Black

NPI #1831639640 in Lutz, Florida

Provider Information

NPI Number: 1831639640
Entity Type: Individual
Name: Bertha Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Feb 27, 2017
Last Updated: Feb 27, 2017

Practice Location

Address: 15420 LIVINGSTON AVE APT 1205
City: Lutz
State: Florida
ZIP Code: 33559-3419
Phone: (702) 606-4701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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