Individual
MAGGIE RUTH BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
23 COACH ST, CANANDAIGUA, NY 14424-1529
(585) 394-2030
(585) 394-0454
Mailing address
5216 E LAKE RD, RUSHVILLE, NY 14544-9751
(585) 781-4101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012305-1
NY
Other
Enumeration date
01/27/2013
Last updated
05/27/2015
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