Individual
TAMELA BENEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4040 BETHEL RD, PAW PAW, WV 25434-3027
(540) 486-1742
Mailing address
4040 BETHEL RD, PAW PAW, WV 25434-3027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38754
WV
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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