Individual
ALICIA KERRY BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10459 E FLORIAN AVE, MESA, AZ 85208-7128
(623) 866-8424
Mailing address
10459 E FLORIAN AVE, MESA, AZ 85208-7128
(623) 866-8424
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN136801
AZ
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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