Individual
MS. FAITH DALEY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2724 64TH PL N, SAINT PETERSBURG, FL 33702-6346
(727) 403-3788
Mailing address
2724 64TH PL N, SAINT PETERSBURG, FL 33702-6346
(727) 403-3788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
896532
FL
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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