Jeremy Dwayne Bennett
NPI #1942003363 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1942003363
- Entity Type
- Individual
- Name
- Jeremy Dwayne Bennett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Mar 31, 2025
- Last Updated
- Mar 31, 2025
Practice Location
- Address
- 1027 FREDERICK ST
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-3942
- Phone
- (304) 327-5305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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