Defren, Mark

Defren, Mark is an individual health care provider with primary practice located at 7000B S Center Dr , Clearlake CA 95422-8131. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Defren, Mark can be contacted via phone (707) 994-7090.

Contact Information

Primary practice address
7000B S Center Dr Clearlake CA 95422-8131
Phone: (707) 994-7090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 21349 California

Profile Details

NPI number 1972050102
LBN Legal business name Defren, Mark
Credentials LPT/CA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2016
Last updated Sep 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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