Individual
MS. LISHON BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4570 SAIT JOHNS AVE, SUITE 3, JACKSONVILLE, FL 32210
(904) 389-5231
Mailing address
4570 SAIT JOHNS AVE, SUITE 3, JACKSONVILLE, FL 32210
(904) 389-5231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
591283134
FL
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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