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Individual

BENJAMIN DIGRAZIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-9100
Mailing address
711 B AVE, CORONADO, CA 92118-2227
(925) 389-8522

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
95009297
CA
363L00000X
Nurse Practitioner
Primary
95009297
CA

Other

Enumeration date
09/17/2018
Last updated
09/17/2018
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