Individual
TEMIKA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 ELMWOOD AVE, HOLYOKE, MA 01040-2908
(413) 505-6402
Mailing address
20 ELMWOOD AVE, HOLYOKE, MA 01040-2908
(413) 505-6402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN65384
MA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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