Individual
MS. SHERMIYA DEANDRA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2279 NICOLE DR, HAMPTON, GA 30228-6273
(678) 610-0330
Mailing address
2279 NICOLE DR, HAMPTON, GA 30228-6273
(678) 610-0330
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
LPN072729
GA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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