Individual
MARK LAWRENCE MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3950 REYNOLDS RD, RIVERSIDE, CA 92503-3517
(951) 358-4466
Mailing address
35316 THORPE TRL, BEAUMONT, CA 92223-6240
(909) 557-8270
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95124546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN95124546
RN
CA
Enumeration date
07/02/2025
Last updated
07/02/2025
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