Individual
QUANTA MILLEDGE-BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23541 KENOSHA ST, OAK PARK, MI 48237-2473
(313) 478-6220
Mailing address
23541 KENOSHA ST, OAK PARK, MI 48237-2473
(313) 478-6220
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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