SearchMichigan101YP2500X

Carla Black

NPI 1992193999 · on the registry since 2014

Practice

Address
19335 Centralia
Redford, MI 48240
Phone
(313) 648-5208

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-30

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 Michigan