THERON BENNETT

ELMIRA, NY
NPI1780234146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2019-09-18
Last Update Date2019-09-18
Business Address
THERON BENNETT
900 WEST FIRST STREET
ELMIRA, NY 14905
Phone number: 607-333-6322
Mailing Address
THERON BENNETT
900 WEST FIRST STREET
ELMIRA, NY 14905
Phone number: 607-333-6322