Individual provider · NPI-1

Nicholas Marcel Black

Respiratory Therapist, Certified, Pulmonary Function Technologist · Woodland Hills, CA

NPI number1033696596
StatusActive
Last updated in NPPESJul 26, 2018

Details

NPI
1033696596
Entity type
Individual (NPI-1)
Name
Nicholas Marcel Black
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2018
Last updated
Jul 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2278P1006X Respiratory Therapist, Certified, Pulmonary Function Technologist27382CAYes

Practice location

5601 De Soto Ave
Woodland Hills, CA 91367-6701

Phone 818-719-3534

Mailing address

5601 De Soto Ave
Woodland Hills, CA 91367-6701

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