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Contact Information

WICLIFF BERRIS BENJAMIN
10427 E IDAHO CIR
MESA, AZ85209-7715
 Phone: 602-326-7232
 Fax: 489-264-7516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for WICLIFF BERRIS BENJAMIN · (Male)

NPI Number 1073162095
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2019
Last updated 09/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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