Individual
AMANDA BENINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 17TH AVE SE, SAINT JOSEPH, MN 56374-4643
(320) 333-2934
Mailing address
1423 17TH AVE SE, SAINT JOSEPH, MN 56374-4643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2457542
MN
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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