Individual
DONNA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 HWY VV, KENNETT, MO 63857
(573) 888-5925
Mailing address
925 HWY VV, KENNETT, MO 63857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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