Mr. Mark Oliver Stack Jr.
Mr. Mark Oliver Stack Jr. is a Peer Specialist in Visalia, California. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
520 E Tulare AveVisalia, CA 93292-3629
Phone: (559) 623-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1528558624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 14, 2018 |
| Last updated in NPPES | May 14, 2018 |
| Mailing address | 520 E Tulare Ave, Visalia, CA 93292-3629 |
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