Individual
MISS PHILIP H BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12603 W NEEDHAM DR, NEW BERLIN, WI 53151-1849
(262) 786-6229
Mailing address
12603 W NEEDHAM DR, NEW BERLIN, WI 53151-1849
(262) 786-6229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139240-030
WI
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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