Individual
MICHELLE SUZANNE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 EL CAMINO REAL, 206, MENLO PARK, CA 94025-4145
(650) 815-1922
Mailing address
1670 EL CAMINO REAL, 206, MENLO PARK, CA 94025-4145
(650) 815-1922
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
F4377402
CA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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