Fred Benson, OWNER
NPI #1639899297 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1639899297
- Entity Type
- Individual
- Name
- Fred Benson, OWNER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- OWNER
- Enumeration Date
- Sep 1, 2022
- Last Updated
- Sep 1, 2022
Practice Location
- Address
- 2478 LAKE AVE
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-5406
- Phone
- (260) 387-6396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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