Individual
ANNA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
3700 YOUNG AVE, OAKLAND, CA 94619-1643
(925) 395-1361
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000703
CA
Other
Enumeration date
01/25/2017
Last updated
06/11/2024
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