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Benjamin Ray Mock
Student in an Organized Health Care Education/Training Program in Antioch, California
NPI 1275211443

Benjamin Ray Mock is a Student in an Organized Health Care Education/Training Program based in Brentwood, CA. Benjamin Ray Mock practices in Antioch, CA. The NPI Number for Benjamin Ray Mock is 1275211443 and holds a License No. (California).

The current practice location address for Benjamin Ray Mock is 4501 Sand Creek Rd, Antioch, CA and can be reached out via phone at 925-813-6500.

Location: 4501 Sand Creek Rd, Antioch, CA, 94513-2937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275211443
Provider Name
Benjamin Ray Mock
Credential
Provider Entity Type
Individual
Gender
Male
Address
4501 Sand Creek Rd, Antioch, CA, 94513-2937
Phone Number
925-813-6500
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4501 Sand Creek Rd
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-6500
Fax Number
person
Provider Business Mailing Address Details
Address
4501 Sand Creek Rd
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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