BENJAMIN MARK EBERLEIN

HOLLIS, NY
NPI1124336821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: NY  342912450110E)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
Mr. BENJAMIN MARK EBERLEIN C.N.A
8712 CLIO ST
HOLLIS, NY 11423-1200
Phone number: 703-863-5325
Mailing Address
Mr. BENJAMIN MARK EBERLEIN C.N.A
8712 CLIO ST
HOLLIS, NY 11423-1200
Phone number: 703-863-5325