Benjamin Fombon
Benjamin Fombon is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in McAllen, Texas. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
418 E La Vista Ave Apt AMcAllen, TX 78501-9562
Phone: (956) 627-6070
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1801231600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2013 |
| Last updated in NPPES | May 7, 2013 |
| Mailing address | 418 E La Vista Ave, Apt A, McAllen, TX 78501-9562 |
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