Individual
ALEXANDRA MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 230, MISSION VIEJO, CA 92691-6384
(949) 542-8004
(949) 364-3682
Mailing address
307 33RD ST, NEWPORT BEACH, CA 92663-3131
(646) 267-6314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
01/24/2013
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