Individual
CARL EVAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5400
Mailing address
112 SHERMAN DR, RED BLUFF, CA 96080-3015
(606) 923-6201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013460
CA
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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