Individual
WILMER BENJAMIN QUIFICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 CHESTNUT ST, LUMBERTON, NJ 08048-1134
(609) 518-5470
(609) 518-5484
Mailing address
338 N 42ND ST, PHILADELPHIA, PA 19104-2238
(570) 709-7938
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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