Individual
BENJAMIN SUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25 ALLEN ST, MARTINEZ, CA 94553
(408) 329-3236
Mailing address
25 ALLEN ST, MARTINEZ, CA 94553
(408) 329-3236
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95253656
CA
Other
Enumeration date
09/23/2024
Last updated
10/02/2024
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