Individual provider · Type 1 NPI

Mia Bensouda

Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA

NPI number 1295018646 Active

Practice location

161 S Huntington Ave
Jamaica Plain, MA 02130-4885

Call (617) 232-8610 Map

Mailing address

477 Beacon St, Apt 3
Boston, MA 02115-1330

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295018646

Mia Bensouda's National Provider Identifier is 1295018646, issued on Sep 22, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Sep 22, 2011.