Individual
ANITA DAWN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1392 S MILL CREEK RD, PETERSBURG, WV 26847-8863
(304) 538-4445
Mailing address
411 VIRGINIA AVE STE A, PETERSBURG, WV 26847-1719
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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