Individual
RENEE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 KINGS HWY, APT 5F, BROOKLYN, NY 11203-6040
(347) 789-4107
Mailing address
5455 KINGS HWY, APT 5F, BROOKLYN, NY 11203-6040
(347) 789-4107
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5289961
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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