Search › California › 363LF0000X
Jamie Black, NP
NPI 1124624218 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4107 Adishian Way
Corona, CA 92883 - Phone
- (949) 302-4106
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California