SHANNON BENNETT

LINDSIDE, WV
NPI1972260966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-11-24
Last Update Date2021-11-24
Business Address
SHANNON BENNETT
8395 SENECA TRAIL SOUTH
LINDSIDE, WV 24951
Phone number: 304-753-4384
Mailing Address
SHANNON BENNETT
PO BOX 149
LINDSIDE, WV 24951-0149
Phone number: 304-753-4384
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