Individual
MRS. ZELDA MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7676 NEW HAMPSHIRE AVE, SUITE 420, TAKOMA PARK, MD 20912-7512
(301) 433-9147
(301) 434-9178
Mailing address
2818 VICEROY AVE, DISTRICT HEIGHTS, MD 20747-3213
(240) 838-3714
(301) 277-7273
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C002404
MD
Other
Enumeration date
03/31/2008
Last updated
11/11/2021
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