Individual
MR. RAS BENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.T/C.F.L.
Contact information
Practice address
13517 UPHAM ST, QUANTICO, VA 22134-4208
(571) 330-2384
Mailing address
13517 UPHAM ST, QUANTICO, VA 22134-4208
(571) 330-2384
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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