Individual
TYNESHA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFSD, CPPD
Contact information
Practice address
20870 LYNN LN, SONORA, CA 95370-9101
(805) 284-3834
Mailing address
20870 LYNN LN, SONORA, CA 95370-9101
(805) 284-3834
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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