| Keicha Black, | |
|
962 Wayne Ave, Suite 600, Silver Spring, MD 20910-4433 | |
| (301) 585-9595 | |
| Not Available |
| Full Name | Keicha Black |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 962 Wayne Ave, Silver Spring, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760926265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP34016 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keicha Black, 962 Wayne Ave, Suite 600, Silver Spring, MD 20910-4433 Ph: () - | Keicha Black, 962 Wayne Ave, Suite 600, Silver Spring, MD 20910-4433 Ph: (301) 585-9595 |
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