Individual
CAROLIN DORIS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 112, LOS ANGELES, CA 90049-5012
(310) 826-3706
(310) 826-3713
Mailing address
11980 SAN VICENTE BLVD, SUITE 112, LOS ANGELES, CA 90049-5012
(310) 826-3706
(310) 826-3713
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12843
CA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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