Individual
BENJAMIN WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 S STATE ST, SUITE B, SAN JACINTO, CA 92583-4933
(951) 791-3596
Mailing address
371 N WESTON PL, HEMET, CA 92543-3006
(951) 791-4082
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/13/2015
Last updated
06/13/2015
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