Individual
DEBORAH BENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 LOCH RAVEN BLVD BLDG G4, BALTIMORE, MD 21239-2945
(443) 444-4793
Mailing address
5601 LOCH RAVEN BLVD BLDG G4, BALTIMORE, MD 21239-2945
(443) 444-4793
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R106065
MD
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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