Individual
CHASITY NICOLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 LAFAYETTE ST, GREENFIELD, OH 45123-1234
(937) 403-3441
Mailing address
1037 LAFAYETTE ST, GREENFIELD, OH 45123-1234
(937) 403-3441
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
602744641123
OH
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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