SearchMinnesota183500000X

Victoria Black

NPI 1639013006 · on the registry since 2026 · sole proprietor

Practice

Address
8117 W 109th St
Bloomington, MN 55438
Phone
(678) 773-9556

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-16

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 Minnesota