Jane Black

NPI #1942389523 in Rolla, Missouri

Provider Information

NPI Number: 1942389523
Entity Type: Individual
Name: Jane Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12400 PRIVATE DR 5308
City: Rolla
State: Missouri
ZIP Code: 65401
Phone: (573) 341-9404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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