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Individual

CASSIDY SHERRY BENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8650
Mailing address
1027 DAVID ST, BRAWLEY, CA 92227-5135
(760) 550-0562

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
712433
CA

Other

Enumeration date
11/09/2020
Last updated
11/09/2020
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