Individual
MACKENLOVE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 INDIAN TRACE CIR APT 305, WEST PALM BEACH, FL 33407-1157
(305) 772-3579
Mailing address
1024 INDIAN TRACE CIR APT 305, WEST PALM BEACH, FL 33407-1157
(305) 772-3579
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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