Individual
MINDY S BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN PNP
Contact information
Practice address
5220 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 428-3885
(510) 547-2702
Mailing address
889 54TH ST, OAKLAND, CA 94608-3238
(510) 428-1228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380831
CA
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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