Individual
DIANA AMANDA BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000151236
TN
Other
Enumeration date
06/02/2013
Last updated
06/02/2013
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