Most Relevant Information
Provider Data
| NPI Number: | 1003319617 |
| Provider Name: | ELVINA BENJAMIN |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2018 |
| Last Updated: | 03/10/2018 |
Provider Practice Location
2600 PARK AVE UNIT 8W
BRIDGEPORT
CT
066041321
Practice Location Phone/Fax
| Phone: | 2035239969 |
| Fax: |
Provider Mailing Location
2600 PARK AVE UNIT 8W
BRIDGEPORT
CT
066041321
Provider Mailing Phone/Fax
| Phone: | 2035239969 |
| Fax: |