Individual
RAYNA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4406 PARK BLVD, SAN DIEGO, CA 92116-4047
(619) 726-8962
Mailing address
6974 SUN ST, SAN DIEGO, CA 92111-5610
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AC 16686
CA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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