Search › California › 101YA0400X
Dedria Black
NPI 1316338940 · on the registry since 2015
Practice
- Address
- 891 Mountain Ranch Rd
San Andreas, CA 95249 - Phone
- (209) 754-6537
- Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Female
- Record last updated
- 2015-02-18
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California