Mia Bensouda

NPI #1295018646 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1295018646
Entity Type: Individual
Name: Mia Bensouda
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 22, 2011
Last Updated: Sep 22, 2011

Practice Location

Address: 161 S HUNTINGTON AVE
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-4885
Phone: (617) 232-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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