Individual
MRS. CIARA E BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 366-5406
Mailing address
105 CORNERSTONE CT, LINCOLN, CA 95648-8243
(916) 284-6979
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17568
CA
Other
Enumeration date
08/31/2006
Last updated
01/03/2022
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