Individual
PRISCILLA E BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 WALTER AVE, FAIRFIELD, OH 45014-1859
(513) 373-8815
Mailing address
973 WALTER AVE, FAIRFIELD, OH 45014-1859
(513) 373-8815
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RG508094
OH
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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