Individual
DR. STACEY ELIZABETH BENBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 469-4699
Mailing address
501 S WASHINGTON AVE, SCRANTON, PA 18505-3814
(202) 279-1817
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
06/21/2022
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