NPI 1073162095

Wicliff Berris Benjamin

Practitioner Home Health Aide Mesa, AZ

Practice location

Address: 10427 E Idaho Cir, Mesa, AZ 85209-7715
Phone: (602) 326-7232
Fax: (489) 264-7516

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1073162095
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2019
Record last updated: 11 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.