Black, Angelina

Black, Angelina is an sole proprietor health care provider with primary practice located at 3151 S 400 E Apt 4 , South Salt Lake UT 84115-4076. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Black, Angelina can be contacted via phone (801) 897-2528.

Contact Information

Primary practice address
3151 S 400 E Apt 4 South Salt Lake UT 84115-4076
Phone: (801) 897-2528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 8695543-4701 Utah

Profile Details

NPI number 1629640669
LBN Legal business name Black, Angelina
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2021
Last updated Jul 9th, 2021 - about 4 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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