Individual
CAITLYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
571 SPENCER LN STE 101, SAN ANTONIO, TX 78201-2030
(210) 736-4405
(210) 437-0505
Mailing address
571 SPENCER LN STE 101, SAN ANTONIO, TX 78201-2030
(210) 736-4405
(210) 437-0505
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341677
TX
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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