Individual
MR. BENJAMIN JOSEPH WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E ALMA ST STE 304, MOUNT SHASTA, CA 96067-2290
(530) 859-3266
Mailing address
101 E ALMA ST STE 304, MOUNT SHASTA, CA 96067-2290
(530) 921-8854
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
A9507155
CA
344600000X
Taxi
Primary
—
CA
Other
Enumeration date
10/03/2018
Last updated
02/27/2023
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