Nakisha Bennett
Prosthetic/Orthotic Supplier in Newark, NJ. Individual provider (NPI-1).
NPI number1699401554
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1699401554
- Entity type
- Individual (NPI-1)
- Name
- Nakisha Bennett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
88 3rd AveNewark, NJ 07104-2706
Phone 862-280-7884
Mailing address
88 3rd AveNewark, NJ 07104-2706
Phone 862-280-7884
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All 5 Prosthetic/Orthotic Supplier providers in Newark · All 6,584 providers in Newark
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