Individual
BENITO LOUIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 318-5600
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 318-5600
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2342876
MA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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