Black, Sandra Ra'Chelle

Black, Sandra Ra'Chelle is an sole proprietor health care provider with primary practice located at 8217 Avenue U Apt 4208 , Lubbock TX 79423-3411. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Black, Sandra Ra'Chelle can be contacted via phone (619) 417-3179.

Contact Information

Primary practice address
8217 Avenue U Apt 4208 Lubbock TX 79423-3411
Phone: (619) 417-3179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1851514533
LBN Legal business name Black, Sandra Ra'Chelle
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jul 8th, 2007 - about 18 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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