KANDICE RENEE BEENKEN

SAN DIEGO, CA
NPI1982991501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: CA  20A15340)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: MI  5101019407)
207X00000X Orthopaedic Surgery
(Licence: NV  DO2030)
Enumeration Date2011-07-04
Last Update Date2022-07-21
Business Address
-- KANDICE RENEE BEENKEN D.O.
3750 CONVOY ST STE 201
SAN DIEGO, CA 92111-3770
Phone number: 858-278-8031
Mailing Address
-- KANDICE RENEE BEENKEN D.O.
3750 CONVOY ST STE 201
SAN DIEGO, CA 92111-3770
Phone number: 858-278-8031