Individual
KRISTINA BENNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7861 INDIAN RD, GLOUCESTER, VA 23061-5258
(804) 832-5586
Mailing address
4064 EAGLE RD, HAYES, VA 23072-4630
(804) 832-5586
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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