Individual
MIA EUGENIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
ST. RITA'S MEDICAL CENTER, 730 W MARKET ST, LIMA, OH 45801
(419) 227-3361
Mailing address
9220 WORTHINGTON RD APT 342, WESTERVILLE, OH 43082-7271
(614) 783-4921
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
049010
WI
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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