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NPI Code Detail

MEDICARE: DANNA MARKS

MEDICARE:   DANNA  MARKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1760666523
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANNA MARKS
Provider Business Mailing Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-779-3186
Fax Number :
Provider Business Practice Location Address
First Line : 2727 MACDONALD AVE
Second Line :
City : RICHMOND
State : CA
Zip : 94804-3006
Country : US
Telephone Number : 510-779-3186
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2007
Last Update Date : 12/28/2007

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Directions to “ DANNA MARKS ” Practice Location

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