Individual
WENDY MARICELA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 CONDOR ST, EAST BOSTON, MA 02128-1305
(617) 569-6560
Mailing address
289 HAVRE ST, APT. 1, EAST BOSTON, MA 02128-3029
(617) 912-7637
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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