BENJAMIN FRANK LAKE

CHULA VISTA, CA
NPI1881302321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95023020)
Enumeration Date2022-11-14
Last Update Date2022-12-09
Business Address
BENJAMIN FRANK LAKE PMHNP-BC
917 SAINT GERMAIN RD
CHULA VISTA, CA 91913-3152
Phone number: 207-217-7924
Mailing Address
BENJAMIN FRANK LAKE PMHNP-BC
917 SAINT GERMAIN RD
CHULA VISTA, CA 91913-3152
Phone number: 805-801-0590
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