Individual
MR. MARK R PATRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1420 WILLOW PASS RD, SUITE 200, CONCORD, CA 94520-5823
(925) 646-5480
Mailing address
NA, NA, NA, NA NA
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
677743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
677743
—
CA
Enumeration date
05/30/2013
Last updated
05/30/2013
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