Individual
MRS. BENITA LYNN GOFIGAN MOLLENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.V.N
Contact information
Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC (NHC) HAWAII, PEARL HARBOR, HI 96860-4908
(619) 820-7080
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(619) 820-7080
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
234689
CA
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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