Individual
BENSON GATOGO WAHOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
Mailing address
3330 COUNTRY DR APT 74, FREMONT, CA 94536-6227
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002444
CA
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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