Most Relevant Information
Provider Data
| NPI Number: | 1003213059 |
| Provider Name: | JENNIFER BLAIR GARRETT BENSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 52761 |
Most Important Dates
| Enumeration Date: | 11/19/2014 |
| Last Updated: | 10/20/2016 |
Provider Practice Location
2122 S EL CAMINO REAL
SUITE 100
OCEANSIDE
CA
920546208
Practice Location Phone/Fax
| Phone: | 7606815222 |
| Fax: | 7606815151 |
Provider Mailing Location
2122 S EL CAMINO REAL
SUITE 100
OCEANSIDE
CA
920546208
Provider Mailing Phone/Fax
| Phone: | 7606815222 |
| Fax: | 7606815151 |