Individual
GLENNA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 JEFFERSON ST, OREGON, WI 53575-1316
(919) 260-6868
Mailing address
259 JEFFERSON ST, OREGON, WI 53575-1316
(919) 260-6868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59848-30
WI
Other
Enumeration date
01/24/2007
Last updated
07/07/2011
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