TANJALA MAE BENNETT

MOUNT NEBO, WV
NPI1629823786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-04-22
Last Update Date2024-05-02
Business Address
TANJALA MAE BENNETT
1121 BRUCE RD
MOUNT NEBO, WV 26679-8042
Phone number: 304-646-1919
Mailing Address
TANJALA MAE BENNETT
1121 BRUCE RD
MOUNT NEBO, WV 26679-8042
Phone number: 304-646-1919