Individual
ALICE DENISE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T, M.M.P
Contact information
Practice address
152 FAIRWIND DR APT 301, CHESAPEAKE, VA 23320-4038
(843) 499-0807
Mailing address
152 FAIRWIND DR APT 301, CHESAPEAKE, VA 23320-4038
(843) 499-0807
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018242
VA
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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