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Individual
MISS SHARON D. BENJAMIN
Active
Individual
MISS SHARON D. BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 72274
CA
164X00000X
Licensed Vocational Nurse
VN72274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164X00000X
—
CA
Enumeration date
10/20/2015
Last updated
10/20/2015
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