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Individual

DR. MARK DUANE JANIKULA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
4245 CAPITOLA RD, SUITE 101, CAPITOLA, CA 95010-3573
(831) 475-2604
(831) 475-2605
Mailing address
4245 CAPITOLA RD, SUITE 101, CAPITOLA, CA 95010-3573
(831) 475-2604
(831) 475-2605

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-482
CA
207Q00000X
Family Medicine Physician
95-ND
MT

Other

Enumeration date
05/23/2007
Last updated
12/07/2011
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