Individual
BENJAMIN MEADLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 CYPRESS ST, FORT BRAGG, CA 95437-5410
(707) 961-0308
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
03/28/2025
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