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Individual

ADA BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6736 LAUREL CANYON BLVD STE 200, N HOLLYWOOD, CA 91606-1576
(818) 755-8786
Mailing address
5645 FARMDALE AVE APT 209, N HOLLYWOOD, CA 91601-1780

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/01/2025
Last updated
08/01/2025
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