Individual
TERESA BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WHETSTONE RD, BAINBRIDGE, OH 45612-9428
(740) 634-2412
Mailing address
PO BOX 444, BAINBRIDGE, OH 45612-0444
(740) 634-2412
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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