Individual
THERESA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 J N PEASE PL, SUITE 111, CHARLOTTE, NC 28262-4504
(980) 225-1164
(980) 229-4776
Mailing address
1914 J N PEASE PL, SUITE 111, CHARLOTTE, NC 28262-4504
(980) 225-1164
(980) 229-4776
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HC4656
NC
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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