Individual
AMANDA RENEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
580 E DIAMOND AVE, EVANSVILLE, IN 47711-3716
(812) 424-5116
Mailing address
580 E DIAMOND AVE, EVANSVILLE, IN 47711-3716
(812) 424-5116
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
67000252A
IN
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/26/2016
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