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Mr. Demonterryo L Black SR., DO
Home Health Aide in Windsor, Wisconsin
NPI 1194392910

Demonterryo L Black SR. is a Home Health Aide based in Sun Prairie, WI. Demonterryo L Black SR. practices in Windsor, WI and has the professional credentials of DO. The NPI Number for Demonterryo L Black SR. is 1194392910 and holds a License No. (Wisconsin).

The current practice location address for Demonterryo L Black SR. is 6652 N Towne Rd Apt 121, Windsor, WI and can be reached out via phone at 608-906-4343.

Location: 6652 N Towne Rd Apt 121, Windsor, WI, 53590-4236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194392910
Provider Name
Demonterryo L Black SR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6652 N Towne Rd Apt 121, Windsor, WI, 53590-4236
Phone Number
608-906-4343
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6652 N Towne Rd Apt 121
City
Windsor
State
Wisconsin
Zip
53598-9130
Phone Number
608-906-4343
Fax Number
person
Provider Business Mailing Address Details
Address
6652 N Towne Rd Apt 121
City
Windsor
State
Wisconsin
Zip
53598-9130
Phone Number
608-906-4343
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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