Mrs. Donna Revae Mark
Mrs. Donna Revae Mark is a Marriage & Family Therapist in San Pedro, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
921 S Beacon StSan Pedro, CA 90731-3740
Phone: (310) 984-3055
Fax: (310) 984-3066
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1871785782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 14, 2007 |
| Last updated in NPPES | October 1, 2008 |
| Mailing address | 921 S Beacon St, San Pedro, CA 90731-3740 |
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