Individual
TWOANDA BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
6219 LENOX AVE, SAINT LOUIS, MO 63133-2223
(314) 348-3898
Mailing address
6219 LENOX AVE, SAINT LOUIS, MO 63133-2223
(314) 348-3898
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
LC001504059
MO
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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