Individual
KIMWANA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 MARTIN LAKES DR W, JACKSONVILLE, FL 32220-3747
(904) 982-8262
Mailing address
1874 MONTEBELLO AVE, DELTONA, FL 32738-4257
(904) 982-8262
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
12/03/2018
Last updated
03/02/2023
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