Individual
MARJORIE DESERT-BENJAMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
41 MEDFORD ST APT 2, MALDEN, MA 02148-7405
(617) 784-1168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95967
MA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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