Individual
CALIEN BENNETT X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1814 FRANKLIN ST FL 4, OAKLAND, CA 94612-3487
(510) 613-0330
(510) 350-3557
Mailing address
1814 FRANKLIN ST FL 4, OAKLAND, CA 94612-3487
(510) 613-0330
(510) 350-3557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821173
CA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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