Individual
BRENDA NELL BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1200 SOUTHVIEW DR, WAXAHACHIE, TX 75165-6029
(469) 323-1213
Mailing address
1200 SOUTHVIEW DR, WAXAHACHIE, TX 75165-6029
(469) 323-1213
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
97669
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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