Individual
VIRGINIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PUBLIC HEALTH TECH
Contact information
Practice address
615 W MORELAND BLVD, WAUKESHA, WI 53188-2462
(262) 896-8430
(262) 896-8387
Mailing address
615 W MORELAND BLVD, WAUKESHA, WI 53188-2462
(262) 896-8430
(262) 896-8387
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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