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BENJAMIN BROWN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1174800171

Individual Registrant:
 BENJAMIN  BROWN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
24511 W JAYNE AVE  COALINGA, CA 93210 US
Tel: 559-935-4300  Fax: --

Contact information for business:
654 LUCILLE AVE 103 COALINGA, CA 93210 US
Tel: --  Fax: --

Registration Information:
NPI: 1174800171
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
CA724688
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA20910

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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