Individual
MRS. COLLEEN M BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7940 MILL ST, EAST OTTO, NY 14729-9795
(716) 957-4737
Mailing address
7940 MILL ST, EAST OTTO, NY 14729-9795
(716) 957-4737
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
247799-1
NY
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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