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Individual

MS. SERENA GAIL BENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NAC

Contact information

Practice address
521 PRINCETON AVE N, WENATCHEE, WA 98801-1879
(509) 433-2215
Mailing address
521 PRINCETON AVE N, WENATCHEE, WA 98801-1879
(509) 433-2215

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NC 60027206
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NC 60027206
DEPARTMENT OF HEALTH
WA
Enumeration date
10/21/2010
Last updated
10/21/2010
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