Individual
MR. MARK VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 MOUNT VERNON AVE STE 209, ALEXANDRIA, VA 22301-1342
(703) 489-0754
Mailing address
2016 MOUNT VERNON AVE STE 209, ALEXANDRIA, VA 22301-1342
(703) 489-0754
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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