Individual
CAEDYN JANECE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Mailing address
13514 SE 161ST PL, RENTON, WA 98058-6919
(206) 291-5853
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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