Individual
BENNIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
58 BETZSTONE DR, MANSFIELD, OH 44907-2506
(419) 610-4626
Mailing address
58 BETZSTONE DR, MANSFIELD, OH 44907-2506
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
317502
OH
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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