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Marvin Bennett

NPI 1245749035 · on the registry since 2017 · sole proprietor

Practice

Address
4825 Suecla Dr
Richmond, VA 23231
Phone
(804) 475-0795
Fax
(804) 226-7998

Registry record

Primary taxonomy
Driver
172A00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia