Individual
MARK JAYSON HERALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95030761
CA
Other
Enumeration date
03/26/2025
Last updated
11/05/2025
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