Individual
CHEYENNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540A LINE RD, HOLMDEL, NJ 07733-1634
(732) 739-0800
Mailing address
123 CANNON BLVD, JACKSON, NJ 08527-5112
(848) 299-8214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2022
Last updated
05/03/2024
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