Individual
MRS. CYNTHIA ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N1365 ELDER DR, WATERTOWN, WI 53098-3770
(831) 297-3770
Mailing address
N1365 ELDER DR, WATERTOWN, WI 53098-3770
(831) 297-3770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322733-31
WI
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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