TANISHA BENTON

LAKE CHARLES, LA
NPI1104775048
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20172411)
Enumeration Date2026-01-23
Last Update Date2026-01-23
Business Address
TANISHA BENTON
5391 WEAVER RD
LAKE CHARLES, LA 70605-5245
Phone number: 337-564-9009
Mailing Address
TANISHA BENTON
5391 WEAVER RD
LAKE CHARLES, LA 70605-5245
Phone number: 337-564-9009
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