Individual
MS. DEBORAH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7763
Mailing address
34461 CALLE PORTOLA, CAPISTRANO BEACH, CA 92624-1055
(949) 248-2206
(949) 248-2218
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
268922
CA
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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