Individual
BENJAMIN THOMAS MAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95184498
CA
163WC0400X
Case Management Registered Nurse
95184498
CA
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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