Organization
SUMMERANN STYLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A BENNETT SPECIALIST (CEO)
(323) 867-6379
Entity
Organization
Contact information
Practice address
552 E CARSON ST STE 104, CARSON, CA 90745-2897
(323) 867-6379
Mailing address
552 E CARSON ST STE 104, CARSON, CA 90745-2897
(323) 867-6379
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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