Individual
MRS. ANTOINETTE SMITH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 MEADOW FARM DR, RICHMOND, VA 23225-7445
(804) 683-3298
Mailing address
1812 MEADOW FARM DR, RICHMOND, VA 23225-7445
(804) 683-3298
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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