Mark, Thora C.

Mark, Thora C. is an individual health care provider with primary practice located at 520 W Santa Monica Ave , Dededo GU 96929-5286. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mark, Thora C. can be contacted via phone (671) 635-7400.

Contact Information

Primary practice address
520 W Santa Monica Ave Dededo GU 96929-5286
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RX0487 Guam
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP0169 Guam

Profile Details

NPI number 1336658889
LBN Legal business name Mark, Thora C.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Feb 16th, 2021 - about 4 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.

Request for update

Popular Providers