Individual
LEON BENSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 NATURES PATH, CARRIERE, MS 39426-8282
(601) 307-6143
Mailing address
12 NATURES PATH, CARRIERE, MS 39426-8282
(601) 307-6143
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
908287
MS
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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