Bobbie Jo Bench
Technician, Personal Care Attendant in Comort, WV. Individual provider (NPI-1).
NPI number1639782865
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1639782865
- Entity type
- Individual (NPI-1)
- Name
- Bobbie Jo Bench
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2020
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4952 Joes Cr RdComort, WV 25049
Phone 304-549-0391
Mailing address
4952 Joes Cr RdComort, WV 25049
Phone 304-549-0391
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