Individual
CORIANA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 71224, MYRTLE BEACH, SC 29572-0039
(330) 906-9447
Mailing address
PO BOX 71224, MYRTLE BEACH, SC 29572-0039
(330) 906-9447
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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