Individual
STEPHANIE A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
Mailing address
7125 W ENCANTO BLVD, PHOENIX, AZ 85035-1335
(623) 691-5615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046987
AZ
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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