Jessica Ellen Black, MS, NC

NPI #1992311120 in El Cerrito, California

Provider Information

NPI Number: 1992311120
Entity Type: Individual
Name: Jessica Ellen Black, MS, NC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: MS, NC
Enumeration Date: Sep 22, 2020
Last Updated: Sep 22, 2020

Practice Location

Address: 1239 LIBERTY ST APT 225
City: El Cerrito
State: California
ZIP Code: 94530-2347
Phone: (510) 705-2680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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