Individual
BENNETTE BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 DOUGLAS BLVD, STE 300, ROSEVILLE, CA 95661-3848
(916) 745-4499
Mailing address
3017 DOUGLAS BLVD, STE 300, ROSEVILLE, CA 95661-3848
(916) 745-4499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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