Individual
MRS. BENITA JAMES MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
(215) 456-7890
Mailing address
101 E OLNEY AVE, PHILADELPHIA, PA 19120-2421
(215) 456-1825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN530563L
PA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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