Individual
DANNA CHRISTINE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 W F ST, ONTARIO, CA 91762-3201
(909) 986-4550
Mailing address
33293 COLORADO ST UNIT B, YUCAIPA, CA 92399-2036
(909) 534-9395
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30225
CA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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