Individual
BENJAMIN RUIZ VILLALPANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10563 MILLS AVE, MONTCLAIR, CA 91763-4610
(909) 626-4020
(909) 839-6051
Mailing address
15207 CRAZY HORSE AVE, FONTANA, CA 92336-5321
(909) 240-3815
(909) 839-6051
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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