Individual
BENSON WANJOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
Mailing address
5524 TIMBER CREST AVE, LAS VEGAS, NV 89131-3693
(785) 408-9274
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN88307
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
839389
NV
Other
Enumeration date
03/02/2021
Last updated
03/15/2021
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