Individual
ELIZABETH BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 334-3411
Mailing address
975 S FAIRMONT AVE, LODI, CA 95240-5118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95024548
CA
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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