SearchMissouri183700000X

Jane Black

NPI 1942389523 · on the registry since 2006

Practice

Address
12400 Private Dr 5308
Rolla, MO 65401
Phone
(573) 341-9404
Fax
(573) 341-9403

Registry record

Primary taxonomy
183700000X
183700000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Missouri