Benjamin Deruiter
NPI #1053862052 in Stockton, California
Provider Information
- NPI Number
- 1053862052
- Entity Type
- Individual
- Name
- Benjamin Deruiter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 14, 2016
- Last Updated
- Oct 14, 2016
Practice Location
- Address
- 6 S EL DORADO ST
- Address 2
- SUITE 510
- City
- Stockton
- State
- California
- ZIP Code
- 95202-2804
- Phone
- (209) 478-9862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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