Individual
SAMUEL BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 ROSS ST, FAIRMONT, WV 26554-4576
(681) 443-3902
Mailing address
26 ROSS ST, FAIRMONT, WV 26554-4576
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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