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Individual

MR. BENJAMIN JORDAN LOPEZ-GALVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1860 WALNUT ST STE A, RED BLUFF, CA 96080-3611
(530) 528-3204
(530) 527-0240
Mailing address
PO BOX 400, RED BLUFF, CA 96080-0400
(530) 528-3204
(530) 527-0240

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95037759
CA

Other

Enumeration date
01/19/2015
Last updated
01/19/2015
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