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Latanya Black
Student in an Organized Health Care Education/Training Program in Brooklyn Center, Minnesota
NPI 1588074132

Latanya Black is a Student in an Organized Health Care Education/Training Program based in Brooklyn Center, MN. Latanya Black practices in Brooklyn Center, MN. The NPI Number for Latanya Black is 1588074132 and holds a License No. (Minnesota).

The current practice location address for Latanya Black is 3125 66Th Ave N, Brooklyn Center, MN and can be reached out via phone at 763-432-6868 and via fax at 763-432-6868.

Location: 3125 66Th Ave N, Brooklyn Center, MN, 55429-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588074132
Provider Name
Latanya Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
3125 66Th Ave N, Brooklyn Center, MN, 55429-1803
Phone Number
763-432-6868
Fax Number
763-432-6868
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3125 66Th Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-1803
Phone Number
763-432-6868
Fax Number
763-432-6868
person
Provider Business Mailing Address Details
Address
3125 66Th Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-1803
Phone Number
763-432-6868
Fax Number
763-432-6868
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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