Individual
JASPER BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 307-1024
Mailing address
2750 SUTTERVILLE RD, SACRAMENTO, CA 95820-1093
(916) 307-1024
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
04/22/2025
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