Individual
ROSELENE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 SE CAPRONA AVE, PORT ST LUCIE, FL 34983-2264
(772) 408-4798
Mailing address
102 SE CAPRONA AVE, PORT ST LUCIE, FL 34983-2264
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 18816
FL
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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