Individual
DANA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1435 CINCINNATI ST, DAYTON, OH 45417-4614
(937) 449-0800
Mailing address
1435 CINCINNATI ST, DAYTON, OH 45417-4614
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.102492.M-IV
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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