Heather Benjamin
Foster Care Agency in Las Vegas, NV. Individual provider (NPI-1).
NPI number1629444732
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1629444732
- Entity type
- Individual (NPI-1)
- Name
- Heather Benjamin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | – | – | Yes |
Practice location
3155 E Patrick LnSuite 1
Las Vegas, NV 89120-3496
Phone 702-992-0576
Mailing address
3155 E Patrick LnSuite 1
Las Vegas, NV 89120-3496
Phone 702-992-0576
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