Individual
BENJAMIN CLINES
Active
Individual
BENJAMIN CLINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001281520
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
11037059
FL
Other
Enumeration date
02/28/2023
Last updated
04/03/2025
Update your record
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