Individual
DONNA J MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3207 N ACADEMY BLVD, NO. 100, COLORADO SPRINGS, CO 80917-5100
(719) 776-3600
(719) 776-3610
Mailing address
DEPT 1193, DENVER, CO 80291-1193
(303) 486-5504
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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