Individual
MR. DEJON M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 W MARCH LN STE CANDD, STOCKTON, CA 95207-6458
(209) 687-5865
Mailing address
1803 W MARCH LN STE CANDD, STOCKTON, CA 95207-6458
(209) 687-5865
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
04/23/2025
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