Individual
MS. DARLENE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTI
Contact information
Practice address
8450 CAROB ST, FONTANA, CA 92335-1221
(310) 922-3596
Mailing address
8450 CAROB ST, FONTANA, CA 92335-1221
(310) 922-3596
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
00009782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00009782
CPT1
CA
Enumeration date
05/31/2020
Last updated
05/31/2020
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