Individual
JULIETTE ROSALY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 INDEPENDENCE AVE S APT 42, ST LOUIS PARK, MN 55426-3758
(320) 455-2603
Mailing address
3660 INDEPENDENCE AVE S APT 42, ST LOUIS PARK, MN 55426-3758
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A2935
MN
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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