ANGELA BENNETT LPN
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1912423518- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPN
- Status
- Active
Contact & Location
- Address
- 4647 LOWELL AVE NE, KEIZER, OR, 973033842
- Phone
- (503) 508-9609
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: OR #201407422LPN
All Addresses
MAILING
4647 LOWELL AVE NE
KEIZER, OR, 973033842