Most Relevant Information
Provider Data
| NPI Number: | 1003064718 |
| Provider Name: | BENJAMIN THEM RN |
| Entity Type: | Individual |
| Taxonomy Code: | 374700000X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2008 |
| Last Updated: | 10/05/2014 |
Provider Practice Location
10002 SAN JUAN ST
APT 4
SPRING VALLEY
CA
919771635
Practice Location Phone/Fax
| Phone: | 6193465854 |
| Fax: |
Provider Mailing Location
10002 SAN JUAN ST
#4
SPRING VALLEY
CA
919771635
Provider Mailing Phone/Fax
| Phone: | 6193465854 |
| Fax: |