Individual
MS. THELMA D'MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753693
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
23787
CA
Other
Enumeration date
09/24/2013
Last updated
09/30/2013
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