Individual
MRS. CHRISTINE MARIE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
15292 MARIBELLE PL, WOODBRIDGE, VA 22193-6209
(937) 902-8295
Mailing address
15292 MARIBELLE PL, WOODBRIDGE, VA 22193-6209
(937) 902-8295
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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