Individual
BENJAMIN THEODORE BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
1022 BAY MARINA DR, NATIONAL CITY, CA 91950-6398
(202) 834-1496
Mailing address
1022 BAY MARINA DR, NATIONAL CITY, CA 91950-6398
(202) 834-1496
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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