Individual
MR. PETER BENJAMIN THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
923 GLENDALE AVE, SAN DIEGO, CA 92102-2723
(619) 312-7313
Mailing address
923 GLENDALE AVE, SAN DIEGO, CA 92102-2723
(619) 312-7313
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
5238
CA
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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