Search › Colorado › 171100000X
Jennah Black, LAC., DIPL. OM, MSOM
NPI 1821640442 · on the registry since 2019
Practice
- Address
- 3613 Jeannine Dr
Colorado Springs, CO 80917 - Phone
- (720) 933-6633
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- IL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-16
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 Colorado