Individual
GLENDA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2800 D RD, GRAND JUNCTION, CO 81501-4721
(970) 255-5818
(970) 255-5830
Mailing address
662 LARKSPUR LN, GRAND JUNCTION, CO 81506-8320
(970) 245-4412
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN-56921
CO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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