Individual
MRS. SHANNON LOUISE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM,CPM
Contact information
Practice address
2207 ROCHELLE LN, WEST RICHLAND, WA 99353-9505
(509) 308-3711
(509) 967-4625
Mailing address
2207 ROCHELLE LN, WEST RICHLAND, WA 99353-9505
(509) 308-3711
(509) 967-4625
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW
WA
Other
Enumeration date
01/29/2010
Last updated
12/07/2015
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