MARK CHAN

SANTA CLARITA, CA
NPI1336782010
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012116)
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
MARK CHAN NP
19231 SOLEDAD CANYON RD
SANTA CLARITA, CA 91351-3367
Phone number: 661-260-3155
Mailing Address
MARK CHAN NP
PO BOX 721552
SAN DIEGO, CA 92172-1552
Phone number: 858-752-4177
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