Jennifer Benjamin
Specialist/Technologist, Athletic Trainer in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1285713602
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285713602
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Benjamin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1226 Pagentry DrNorth Las Vegas, NV 89031-2305
Phone 702-994-9800
Mailing address
1226 Pagentry DrNorth Las Vegas, NV 89031-2305
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