Individual
MRS. MARY WASITTIA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 10TH AVENUE, HUNTINGTON, WV 25701-2733
(304) 529-4952
(304) 525-2061
Mailing address
724 10TH AVENUE, HUNTINGTON, WV 25701-2733
(304) 529-4952
(304) 525-2061
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
WV
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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