Individual
BENITA HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2904 E HIGHWAY 98, PANAMA CITY, FL 32401-5430
(850) 358-7491
Mailing address
PO BOX 143, LYNN HAVEN, FL 32444-0143
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5196357
FL
Other
Enumeration date
06/16/2016
Last updated
03/01/2021
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