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Individual

BENJAMIN GUZMAN OLAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 212-3264
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 212-3264

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/21/2023
Last updated
08/11/2025
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