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MS. BRENDA JUNE BENTLEY

>> Driver >> Other Service Providers

Registrant NPI Number: 1417087339

Individual Registrant:
MS. BRENDA JUNE BENTLEY 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
128 SCENEGA  VALDEZ, AK 99686 US
Tel: 907-835-3274  Fax: 907-835-3512

Contact information for business:
PO BOX 1518 433 W KLUTINA VALDEZ, AK 99686 US
Tel: 907-835-2043  Fax: --

Registration Information:
NPI: 1417087339
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X172A00000XOther Service Providers
Driver
X372500000XNursing Service Related Providers
Chore Provider
X372600000XNursing Service Related Providers
Adult Companion
X373H00000XNursing Service Related Providers
Day Training/Habilitation Specialist
X3747A0650XNursing Service Related Providers
Technician
X3747P1801XNursing Service Related Providers
Technician
X374U00000XNursing Service Related Providers
Home Health Aide

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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