Individual
BENNINGTON PATRICK WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
3795
TN
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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