LANCE BENEDICT

SAN RAFAEL, CA
NPI1932293636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  15872)
Enumeration Date2006-10-03
Last Update Date2007-07-10
Business Address
-- LANCE BENEDICT NP
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4927
Mailing Address
-- LANCE BENEDICT NP
99 MONTECILLO RD
SAN RAFAEL, CA 94903-3308
Phone number: 415-444-4927