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
Phone: (671) 635-7400
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
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