Individual
DANIELLE RENEE BENNINGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15324 GATEHOUSE TER, WOODBRIDGE, VA 22191-4100
(571) 224-7317
Mailing address
15324 GATEHOUSE TER, WOODBRIDGE, VA 22191-4100
(571) 224-7317
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
001225604
VA
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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