Individual
JORDAN MAX BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
2251 HOWARD ST, WALLA WALLA, WA 99362-4554
(509) 520-9150
Mailing address
522 36TH AVE, SAN FRANCISCO, CA 94121-2608
(415) 218-2211
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PARA.ES.60960544
WA
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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