Individual
RICKY BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1/4 MI S OF INDIAN RTE 65 FROM WHIPPOORWILL CHAPTER, WHIPPOORWILL, AZ 86510
(928) 679-5408
Mailing address
PO BOX 4493, BLUE GAP, AZ 86520-4493
(928) 679-5408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
AZ
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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