person
Mary Black-williams, NP
Women's Health Nurse Practitioner in Montclair, California
NPI 1114013026

Mary Black-williams is a Women's Health Nurse Practitioner based in Long Beach, CA and is specialized in Women's Health. Mary Black-williams practices in Montclair, CA and has the professional credentials of NP. The NPI Number for Mary Black-williams is 1114013026 and holds a License No. 231324 (California).

The current practice location address for Mary Black-williams is 5050 San Bernardino St, Montclair, CA and can be reached out via phone at 909-626-2463 and via fax at 909-624-6297.

Location: 5050 San Bernardino St, Montclair, CA, 90806-2404
person
Provider Profile Details
NPI Number
1114013026
Provider Name
Mary Black-williams
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5050 San Bernardino St, Montclair, CA, 90806-2404
Phone Number
909-626-2463
Fax Number
909-624-6297
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN2313240 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5050 San Bernardino St
City
State
Zip
91763-2326
Phone Number
909-626-2463
Fax Number
909-624-6297
person
Provider Business Mailing Address Details
Address
5050 San Bernardino St
City
State
Zip
91763-2326
Phone Number
909-626-2463
Fax Number
909-624-6297
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
231324 (California)
Definition
Definition to come...
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