Individual
CLAIRE ROUSH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADMIN SERVICES
Contact information
Practice address
1704 CAPE HORN AVE, JULIAN, CA 92036
(619) 832-1220
Mailing address
363 REFLECTIONS AVE, PONTE VEDRA, FL 32081-1186
(619) 832-1220
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
220285982
CA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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