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Individual

MARIE ELAINA BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HOME CARE AGENCY

Contact information

Practice address
7410 ELLICOTT RD, LOCKPORT, NY 14094-9487
(716) 523-1422
Mailing address
7410 ELLICOTT RD, LOCKPORT, NY 14094-9487
(716) 523-1422

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NYOOO438598E
NY

Other

Enumeration date
04/06/2023
Last updated
04/06/2023
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