Individual
BENJAMIN G MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18826 PEPPERDINE DR, CARSON, CA 90746-3904
(310) 601-0029
Mailing address
18826 PEPPERDINE DR, CARSON, CA 90746-3904
(310) 601-0029
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN682930
CA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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