Individual provider · NPI-1
Danielle Black
Technician, Pathology, Phlebotomy · Bowie, MD
NPI number1609475185
StatusActive
Last updated in NPPESOct 25, 2020
Details
- NPI
- 1609475185
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Danielle Black
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2020
- Certification date
- Oct 25, 2020
- Last updated
- Oct 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 174H00000X | Health Educator | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
16701 Melford BlvdBowie, MD 20715-4305
Phone 301-388-8775
Mailing address
12302 Ronald Beall RdUpper Marlboro, MD 20774-5682
Phone 301-388-8775
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