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Shyanna Elizabeth Benjamin

Homemaker in Lima, OH. Individual provider (NPI-1).

NPI number1386485605
StatusActive
Last updated in NPPESJun 3, 2024

Details

NPI
1386485605
Entity type
Individual (NPI-1)
Name
Shyanna Elizabeth Benjamin
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 3, 2024
Certification date
Jun 2, 2024
Last updated
Jun 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

305 Devonshire Dr
Lima, OH 45804-3321

Phone 567-242-8902

Mailing address

305 Devonshire Dr
Lima, OH 45804-3321

Phone 567-242-8902

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