Individual
JAJUAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 W ALBANUS ST, PHILADELPHIA, PA 19120-3827
(888) 609-9994
Mailing address
206 W ALBANUS ST, PHILADELPHIA, PA 19120-3827
(888) 609-9994
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
41763601
PA
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
About Stedi
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