Individual
PROF. KATETIA H BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 VEST MILL RD STE 33, WINSTON SALEM, NC 27103-2978
(336) 934-5354
(877) 445-5698
Mailing address
3837 CRUSADE DR, WINSTON SALEM, NC 27101-2252
(336) 983-3046
(877) 445-5698
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
202876
NC
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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