Individual
MICHELLE DENISE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70 CATHERINE CT, LYNCHBURG, VA 24501-7075
(434) 665-5607
Mailing address
70 CATHERINE CT, LYNCHBURG, VA 24501-7075
(434) 665-5607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001197115
VA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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