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Individual

MS. CAROL JOY BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.P.

Contact information

Practice address
838 G ST, SAN DIEGO, CA 92101-6421
(848) 229-4452
Mailing address
1094 8TH ST, IMPERIAL BEACH, CA 91932-2724
(858) 609-0866
(858) 609-0854

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95000097
CA
363LA2100X
Acute Care Nurse Practitioner
95000097
CA
363LA2200X
Adult Health Nurse Practitioner
95000097
CA

Other

Enumeration date
11/15/2013
Last updated
09/17/2018
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