Individual
JENNIFER BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 PAGENTRY DR, NORTH LAS VEGAS, NV 89031-2305
(702) 994-9800
Mailing address
1226 PAGENTRY DR, NORTH LAS VEGAS, NV 89031-2305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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