Individual
MS. DAVETTA C BENNETT-MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 FAIRLAWN DR, DANVILLE, VA 24540-1630
(434) 429-0565
Mailing address
110 FAIRLAWN DR, DANVILLE, VA 24540-1630
(434) 421-3020
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002050075
VA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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