Individual
MR. BENJAMIN NICHOLAS WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3575 GEARY BLVD, SAN FRANCISCO, CA 94118-3212
(650) 235-5530
Mailing address
3575 GEARY BLVD, SAN FRANCISCO, CA 94118-3212
(650) 235-5530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
812464
CA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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