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Individual

BENJAMIN THOMAS MAES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2514 FAIR OAKS BLVD APT 198, SACRAMENTO, CA 95825-7661
(916) 397-7668
Mailing address
2514 FAIR OAKS BLVD APT 198, SACRAMENTO, CA 95825-7661

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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