Individual
CAROL ANN BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Mailing address
278 PARKER HILL AVE, ROXBURY, MA 02120-3331
(267) 421-1178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2326279
MA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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