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Individual

SAMUAL BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, CNII

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-8667
Mailing address
536 S ANN ST FL 2, BALTIMORE, MD 21231-2441
(302) 983-8710

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
L1-0054607
DE

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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