Individual
ELIE JUNIOR LOUIS BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728
Mailing address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN277283
PA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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