Mary Black
NPI #1821843475 in Marina, California
Provider Information
- NPI Number
- 1821843475
- Entity Type
- Individual
- Name
- Mary Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Apr 18, 2024
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 601 BAYONET CIR
- City
- Marina
- State
- California
- ZIP Code
- 93933-4600
- Phone
- (831) 647-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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