Individual
DIANA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5334 BRENTWOOD CT, HIGHLAND HTS, OH 44143-1937
(216) 534-5753
Mailing address
5334 BRENTWOOD CT, HIGHLAND HTS, OH 44143-1937
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.163712.MEDS-IV
OH
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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