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Individual
MARVIN BUENAVENTURA
Active
Individual
MARVIN BUENAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95023469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95023469
—
CA
Enumeration date
02/02/2023
Last updated
02/02/2023
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