Individual
GREGORY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1162 E 19TH ST UNIT 1120, UPLAND, CA 91784-4229
(619) 602-0045
Mailing address
1601 S GAREY AVE SPC 123, POMONA, CA 91766-5267
(909) 331-1065
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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