Individual
CYNTHIA JOANNE BENEDICKTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 HAWTHORN, IRVINE, CA 92612-2331
(310) 803-7233
Mailing address
13 HAWTHORN, IRVINE, CA 92612-2331
(310) 803-7233
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
761324
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95024136
CA
Other
Enumeration date
01/26/2023
Last updated
02/03/2023
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