Individual
ANDRETTA INGE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8315 WILLOW TRACE CT E, WILMER, AL 36587-9528
(251) 605-2180
Mailing address
8315 WILLOW TRACE CT E, WILMER, AL 36587-9528
(251) 605-2180
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
AL
374U00000X
Home Health Aide
Primary
—
AL
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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