Individual
JULIA WALLACE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 W CENTER ST, WEST BRIDGEWATER, MA 02379-1526
(508) 587-2700
Mailing address
595 W CENTER ST, WEST BRIDGEWATER, MA 02379-1526
(508) 587-2700
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
3559
MA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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