Black, Latanya

Black, Latanya is an sole proprietor health care provider with primary practice located at 3125 66Th Ave N , Brooklyn Center MN 55429-1803. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Black, Latanya can be contacted via phone (763) 432-6868.

Contact Information

Primary practice address
3125 66Th Ave N Brooklyn Center MN 55429-1803
Phone: (763) 432-6868
Fax: (763) 432-6868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Minnesota

Profile Details

NPI number 1588074132
LBN Legal business name Black, Latanya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2014
Last updated May 5th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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