SearchCalifornia101YA0400X

Dedria Black

NPI 1316338940 · on the registry since 2015

Practice

Address
891 Mountain Ranch Rd
San Andreas, CA 95249
Phone
(209) 754-6537
Clinicians at this address
66

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2015-02-18

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