Individual
LYLA JAE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 VAL VERDE AVE, LONG BEACH, CA 90808-4454
(714) 474-1211
Mailing address
3250 VAL VERDE AVE, LONG BEACH, CA 90808-4454
(714) 474-1211
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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