Individual
MR. CHRISTOPHER ANTHONY MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21616 VILLA PACIFICA CIR, CARSON, CA 90745-1738
(562) 303-6317
Mailing address
21616 VILLA PACIFICA CIR, CARSON, CA 90745-1738
(562) 303-6317
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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