Individual
MR. BENJAMIN RUTANHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 HEACOCK ST, SUITE # C236, MORENO VALLEY, CA 92553-3339
(951) 653-0819
(951) 656-2614
Mailing address
1095 RAIN LILY WAY, BEAUMONT, CA 92223-8434
(951) 755-7006
(951) 755-7157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/29/2008
Last updated
05/15/2011
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