Individual
MRS. SANDRA K MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 SATINWOOD WAY, IRVINE, CA 92612
(949) 400-7871
Mailing address
25 SATINWOOD WAY, IRVINE, CA 92612-2111
(949) 400-7871
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6551
CA
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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