Individual
BIANCA J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1108 SAMPSON ST, CENTER, TX 75935
(936) 332-1234
Mailing address
1108 SAMPSON ST, CENTER, TX 75935
(936) 332-1234
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
327374
TX
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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