Organization
SHANAVIN BENNETT
Active
Other names
MS.SHANAVIN BENNETT SF, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAVIN BENNETT (OWNER)
(757) 300-3025
Entity
Organization
Contact information
Practice address
907 WICKFORD DR # 907, CHESAPEAKE, VA 23320-6632
(757) 300-3025
(757) 312-0207
Mailing address
907 WICKFORD DR # 907, CHESAPEAKE, VA 23320-6632
(757) 300-3025
(757) 312-0207
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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