Individual
MRS. BRIANNE N BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
(323) 783-7722
Mailing address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
(323) 783-7722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23224
CA
Other
Enumeration date
09/04/2013
Last updated
12/21/2021
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