Individual
GLORIA D BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1349 MAIN ST, NEWMAN, CA 95360
(209) 862-3604
(209) 862-3904
Mailing address
1349 MAIN ST, NEWMAN, CA 95360-1326
(209) 862-3604
(209) 862-3904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12281
CA
Other
Enumeration date
09/28/2006
Last updated
06/01/2018
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