Individual
SYLIA N/A BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5731 SALISBURY, PROSPER, TX 75078-5679
(469) 352-3258
Mailing address
5731 SALISBURY, PROSPER, TX 75078-5679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306676
TX
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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