Individual
BENJAMIN AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
UCSB STUDENT HEALTH CTR, SANTA BARBARA, CA 93106-0001
(805) 893-5361
Mailing address
1757 EMPTY SADDLE RD, SIMI VALLEY, CA 93063-5812
(805) 893-2402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717326
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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