Individual
INGRID R BENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 N FRONT ST, PHILADELPHIA, PA 19122-1790
(215) 207-5615
Mailing address
2411 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3104
(215) 207-5615
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315350
PA
Other
Enumeration date
08/08/2024
Last updated
12/11/2024
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