Individual provider · NPI-1
Candace Benson
Home Health Aide · Norfolk, VA
NPI number1891365524
StatusActive
Last updated in NPPESJun 25, 2021
Details
- NPI
- 1891365524
- Entity type
- Individual (NPI-1)
- Name
- Candace Benson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Jun 25, 2021
- Last updated
- Jun 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
500 E Plume St Ste 401aNorfolk, VA 23510-2310
Phone 757-776-5513
Mailing address
9504 Jenny CtNorfolk, VA 23503-3058
Phone 757-776-5513
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