Gregory Benson
Gregory Benson is an Attendant Care Provider in Upland, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1162 E 19th St Unit 1120Upland, CA 91784-4229
Phone: (619) 602-0045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1902593213 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 18, 2023 |
| Certification date | April 18, 2023 |
| Mailing address | 1601 S Garey Ave Spc 123, Pomona, CA 91766-5267 |
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Mr. Thomas Jacobs
1162 E 19th St Unit 1120, Upland, CA 91784-4229 · (619) 602-0045
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MS. Vanessa Bryanne Kamchamnan, HCA
1162 E 19th St Unit 1120, Upland, CA 91784-4229 · (619) 602-0045