Individual
ANDREW BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
Mailing address
3644 ERMINE DR, CHINO HILLS, CA 91709-1812
(909) 247-5041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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