Individual
DOMINIQUE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
11795 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1211
(888) 227-3312
Mailing address
11795 W OLYMPIC BLVD, LOS ANGELES, CA 90064-1211
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95044219
CA
363LF0000X
Family Nurse Practitioner
Primary
95004365
CA
Other
Enumeration date
12/28/2016
Last updated
07/07/2021
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