Individual
BENJAMIN BERKLEY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CALIFORNIA ST, EUREKA, CA 95501-1621
(707) 445-1339
(707) 445-1445
Mailing address
904 G ST, EUREKA, CA 95501-1829
(707) 269-2001
(707) 445-0884
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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