ANDRE TEDRELL BENSON

ROSEVILLE, CA
NPI1871137695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN147890)
Enumeration Date2019-11-05
Last Update Date2019-11-05
Business Address
ANDRE TEDRELL BENSON
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
ANDRE TEDRELL BENSON
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-716-3570