Individual
JOHN PAUL BENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4897
(216) 320-8560
Mailing address
22001 FAIRMOUNT BLVD, SHAKER HEIGHTS, OH 44118-4897
(216) 320-8560
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
353168
OH
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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