Individual
MISS CHEVELLE ANTIONETTE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE (LPN)
Contact information
Practice address
4964 SPRINGBORO PIKE, MORAINE, OH 45439-1940
(937) 856-9576
Mailing address
4964 SPRINGBORO PIKE, MORAINE, OH 45439-1940
(937) 949-8716
(937) 834-4446
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.160731.M-IV
OH
Other
Enumeration date
05/04/2018
Last updated
04/07/2026
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