| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Tricia Kim Benjamin | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Tricia | [sources] | |||
| Last name | Benjamin | [sources] | |||
| Middle name | Kim | [sources] | |||
| NPI | 1043337413 | [sources] | |||
| Registration number | 14314 · 557273 | [sources] | |||
| Sector | Nurse Practitioner · Nurse Practitioner Furnishing · Registered Nurse | [sources] | |||
| Address | 10239 Daybreak Lane, Unit 3, Santee, CA 92071 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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